Dear Editor,We congratulate Hogan et al. 1 on the recent publication of their article assessing the impact of implementing a pharmacy robotics dispensing system (PRDS) on dispensing and imprest supply in an Australian tertiary hospital pharmacy. Until now, there has been no local data examining the use of PRDS. We add our findings regarding PRDS implementation on the dispensing process in the Australian hospital pharmacy setting.Fiona Stanley Hospital, a new quaternary referral hospital, implemented PRDS in the pharmacy dispensary and stores areas. We compared the efficiency and accuracy of a manual dispensing process against the PRDS dispensing process following the installation of pharmacy robotics. The robot (Roma Vmax â ; Becton Dickinson, Franklin Lakes, New Jersey, USA) is a whole pack chaotic storage device with dual multi-pick robotic heads, equipped with both fully and semi-automated inputting devices, conveyor chutes and a stock crating system, and has bidirectional interface with iPharmacy, the medication dispensing and stock management system.The dispensing stages assessed were: typing the label, picking stock, labelling and final check. We implemented a hybrid workflow with the use of both robotic and manual processes when picking stock. The manual picking process was for items that were unable to be stored in the robot such as refrigerated items and part packs.One study author (SV) directly observed dispensing activity, recording timing and errors for each stage of dispensing.After PRDS was implemented, each item required a mean of 13 s longer to dispense (see Table 1). The labelling stage increased with PRDS while typing and checking times were unchanged. The potential causes of this included: lack of familiarity with the PRDS process and the presence of less experienced dispensary support staff responsible for the labelling step. As expected, PRDS led to a decrease in picking time. Prescription urgency and workload were not assessed. Hogan et al. 1 suggest that PRDS efficiency benefits explain their unchanged overall prescription turnaround times and staff productivity despite an increased dispensary workload. Other published research assessing the time impact post-PRDS implementation is conflicting. 2 *Significance of picking method in a regression equation including picking method and number of items as independent variables and stage time as dependant variable