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No commercial re-use. See rights and permissions. Published by BMJ.Introduction The significant investments necessary to integrate a new technology or service often create a financial barrier. To convince a hospital board to invest, it is important to demonstrate a return on investment (ROI). As many pharmacists are not used to estimating an ROI, this short report proposes a simple methodology and a free practical tool to download. Methods Determining an ROI requires a calculation of all the expenses linked to the initial investments and