Employing Robotic Pharmacy Automation in a Community Hospital ...

heavyweightuttermostΜηχανική

5 Νοε 2013 (πριν από 3 χρόνια και 9 μήνες)

79 εμφανίσεις

Mar k E. Rogers, Phar mD, CDOE, CVDOE

Cl i ni cal Phar maci s t Super v i s or


Employing

Robotic Pharmacy Automation

in a Community Hospital setting

Objectives


To explore the differences between a
cabinet
-
centric

and a
patient
-
specific

distribution model


To learn about the robotic pharmacy automation
solution being employed at The Westerly Hospital


Technology: Hardware and Software


Patient care and workflow benefits


Inventory improvements


To determine how robotic pharmacy automation will
impact the roles of pharmacy staff

Medication Distribution Models


Cabinet
-
centric:
where we are


The majority of medications are stored in centrally located
automated dispensing cabinets in patient care areas, and are
dispensed by nurses as needed (Pyxis
®
, Omnicell
®
, AcuDose
®
)



Patient
-
specific:
where we are going


The majority of medications are dispensed by the pharmacy
for
specific patients
, and are delivered to the nursing unit in
bar
-
coded packaging

Patient
-
Specific Distribution Model


Improves medication access and workflow efficiency for
nurses in inpatient care areas


Utilizes bar code scanning to reduce potential look
alike/sound alike errors


More efficient, capable inventory management system


Reduces technician time spent picking medications and
filling automated dispensing machines

VS.

The Solution for TWH


Hardware


McKesson PROmanager
-
Rx


Fully automated medication dispensing robot


McKesson MedShelf


Manages inventory for all other medications not stored in
PROmanager
-
Rx



Software


McKesson Connect
-
Rx


Application for running PROmanager
-
Rx and MedShelf


Interfaces with PIS and ADC

Connect
-
Rx Software


Integrates PROmanager
-
Rx and MedShelf


Simplifies system
-
wide dispensing and inventory management


Receives order data from PIS and sends dispense
messages to PROmanager
-
Rx or MedShelf


Mckesson PROmanager
-
Rx

A Patient
-
Specific Distribution Model

Stores and
dispenses
manufacturer unit
-
dose

packaged

oral
medications.


Capacity: Stores up
to 12,000 doses


Dimensions:
12.5’ L x 5’ W

How Does PROmanager
-
Rx Work?


Bar
-
coded patient labels are
printed and placed on cassettes


Cassettes are placed on conveyor


PROmanager
-
Rx scans patient
label and then scans, selects,
and dispenses every dose


Cassettes exit the conveyor,
ready to be delivered to patient
care areas


Useful for cart fill dispensing

PROmanager
-
Rx Front Chute


Front chute useful for first dose and stat orders


Patient label is scanned before and after dispensing

McKesson MedShelf


For medications not stored
in PROmanager
-
Rx


Odd shapes


Injectables, bulk meds, etc.


Utilizes barcode technology
to improve picking accuracy


Patient label is scanned, and
Connect
-
Rx accesses the profile


Medications to be picked are
listed


Technician scans each dose
picked


System deducts medications
dispensed from inventory


Benefits of Robotic Automation


Improves workflow in
patient care areas



Improves filling accuracy
and patient safety



Manages centralized
pharmacy inventory



Improving Filling Accuracy and Patient Safety


PROmanager
-
Rx uses barcode technology to fill
medication orders


Dispenses manufacturer
-
packaged oral medications


Eliminates the potential for human error


Six sigma dispensing process that checks the patient
profile and medication bar code multiple times before
dispensing




Inventory Management








Automated returns and
restocking


Includes Singulator


Automated package divider


Maintains perpetual
inventory


Expiration date tracking


Dispenses medications with
earliest expiration date first


Removes expired drugs


Dynamic inventory
optimization


Adjusts medication max and par
levels based on dispensing
history


Prepares suggested
wholesaler reordering report

Improving Patient Care and Workflow


Promote Patient Centered Care


Patient
-
specific medication dispensing allows nurses to spend
less time in the med room and more time with the patient


Minimizes the need for pharmacist verification


Reduce manual pulls of scheduled, oral medications


Redeploy pharmacists to take a more active role in direct
patient care


Both PROmanager
-
Rx and MedShelf can be used to
dispense inventory for ADC refills


Separate interface may be needed with Connect
-
Rx

Changing Roles of Pharmacy Staff


Pharmacy technicians:


Initiate cart fills and on demand dispensing from Connect
-
Rx


Restock PROmanager
-
Rx and MedShelf as needed


Deliver patient
-
specific medication bags to inpatient care areas


Make hourly rounds to patient care areas


Manage inventory and outdates electronically


Pharmacists:


Enjoy efficiencies in dispensing verification


Play a larger role in direct patient care


Clinical interventions


Patient education

QUESTIONS?

Thank you