An inspirational visit to the pharmacy of the Centre Hospitalier de Valenciennes

Size: px
Start display at page:

Download "An inspirational visit to the pharmacy of the Centre Hospitalier de Valenciennes"

Transcription

1 Bekijk de nieuwsbrief online als deze niet correct wordt weergegeven. hict visits An inspirational visit to the pharmacy of the Centre Hospitalier de Valenciennes On August 22nd 2014, a hict team crossed the border to France to visit the Centre Hospitalier de Valenciennes. Although Valenciennes may be a less known French city in Belgium, the hospital is with almost 2000 beds one of the larger players in France. The visit was aimed to strengthen hict s unique approach of optimization projects for pharmacies as a customized solution for the entire hospital. Quality and safety purpose The visit was guided by Etienne Cousein, Head of the pharmacy medication department, currently finishing his PhD in efficiency and safety of the medication process. Etienne Cousein shared passionately the genesis of the 'best practice' hospital pharmacy in the CH de Valenciennes. He explained in one sentence the purpose of the hospital project: "We are not satisfied with the 10% error in the medication process as common in hospitals, we want to obtain error rates applicable in the aviation industry of 1 in 1 million." In a few hours, we got the chance to see in detail how this goal was converted into processes, systems, behavior and culture. Stepwise approach In late 2006 the CH de Valenciennes started thinking about automation and unidoses. Three years later, in 2009, the (Swisslog) pharmacy robot was operational and started with the delivery of some 40 beds with patient-specific medication rings. Now, 500 of the 900 acute patients are supplied through the hospital pharmacy automated systems per 24h. In addition the long stay wards patients are weekly supplied with 7 rings per patient. Besides the central robot, a software-controlled Pyxis cabinet of CareFusion is installed on each floor. This form of customization for different wards from unidoses from the pharmacy on the one hand to all manual processing at the ward on the other hand is the power of the model as realized in Valenciennes.

2 Patient safety and optimization In Valenciennes the starting premise wasn t the implementation of a pharmacy robot or saving of staff. The goal was and is patient safety and optimal support of the care process. This choice has several consequences. Thus, the pharmacy automation project isn t a project of the pharmacy only, but is realized for, by and with the complete hospital. Doctors and nurses are involved to optimize the medication process in connection with the care process. Since automation was not a goal in itself the result isn t a full flesh automation of all wards. For example: the choice was made for little automation but intensive decentralized support by the pharmacy on the intensive services. Another example is that pharmacists are now performing medication reconciliation in the emergency department and are using a clinical decision support system during the prescription checking process to ensure medication management safety. Consequently the project did not result in high savings of FTEs, but new roles were put in places for different types of staff with other tasks. All aimed at the improvement of the quality of the medication process. ICT as driver The parallel IT project of the implementation of a new Hospital Information System and the Electronic Medical Prescription module has been an important driver to achieve the desired results of the pharmacy project. The new quality-oriented pharmacy requires pharmacists to have access to all data of the patients. Information from both the nursing and the medical record is important in the drug monitoring of patients. The successful integration of the various health care players asks for perfectly aligned and customized IT solutions. Furthermore such a change requires commitment from everyone involved with the patient to learn to use the new tools. This project could not have succeeded if it had not been supported by the whole hospital. Different degrees of automation Important determinants for the degree of automation of each ward are: 1. the variability in the prescriptions 2. the time between the prescription and administration The greater the variability in prescribed medication per patient per day, the later the medication rings should be created in order to accommodate all the changes. If there are too many changes to the prescriptions, the decentralized cabinet will be used frequently and should be placed closer to the caregivers. Customization to the different care processes asks to adjust the turnaround time of the medication process. The time between prescribing and administering can vary greatly between wards: from prescribing for days in advance (geriatrics) to administering before prescribing (ER). The shorter the time between prescription and administration, the less suitable the solution of a, still slow, robot. In Valenciennes, the prime examples of the different solutions are implemented.

3 The unidose processes in detail The unidose process already starts at the reception of the medication in the pharmacy. The blisters are placed in closed canisters with a RFID tag. When these canisters are placed in the robot, the robot identifies the medication based on the RFID tag. Then the blisters are cut into unidoses by the robot and packed in bags that are automatically stored. When the robot receives the command to make a particular prescription, the bags are 'picked' and joined to one ring. Next, a label with the patient s name, the administration data, and other useful information are added to the ring. An average drug ring for one patient for one day consists of 12 to 14 single-doses. The non-packable medication, such as large bottles of syrup, some ampoules or ointments, still needs to be added manually. This medication is taken by the pharmacy staff from the carousel (Rotomat) and placed with the drug ring in the box for that patient. As with the medication ring, a label with the name of the patient is added to the non-wrapped medication. This will be complemented with a barcode to close the medication circle completely with bedside scanning.

4 Acute services The pharmacy of the CH de Valenciennes has two Swisslog robots which have almost the same content. This doubling offers sufficient capacity to provide all the medication rings. The robots are working 4 to 5 hours per day to create the medication rings for 500 patients. Next, these robots cut the blisters and store the unidoses all day long. In the morning, the robot starts cutting and storing the bags on one side of the robot. Around noon the picking starts and medication rings are prepared for the acute wards on the other side of the robot. A second picking round starts in the late afternoon to absorb changes in the prescriptions and to process the new admissions. In the course of the day the returns are offered to the system and at night they are automatically stored by the robot. If the pharmacy would be working with one robot it would be picking up to 10 hours a day, what might give problems to cut and store the new medication timely. Long stay departments The robot prepares the medication for an entire week at once. Thus, there are seven medication rings created per patient that come together out of the machine. The Intensive Care services The flow of the medication in the robot is the same as for acute services. At the wards, additional medication is made available in cabinets. The robot cannot offer the desired support for the intensive care services (emergencies, operating theater, intensive care). Alternatively decentralized cabinets are used. These cabinets are connected to the IT system and hence the pharmacist can see when he must fill each cabinet. In this case, only the SW integration part of the entire pharmacy project is implemented.

5 Staff In the past pharmacists were only dedicated to paper order checking with a few assistants and the wards were supplied in bulk by the pharmacy when required. There was no further follow-up and the nurses at the ward had to prepare the medication. Currently the pharmacy is working with 10 pharmacists and 16 assistants. 4 pharmacists are dedicated to check and analyze the electronic prescriptions in the morning and 2 in the afternoon. As a support tool, the pharmacists have full access to the EHR. Three assistants ensure the unit dose delivery, their main job being to check the coherence between the prescriptions and the medication ring, the patient room number and whether there are empty or damaged bags on the ring. One to two pharmacy assistants are in charge of the daily supply for the decentralized cabinets. In the future, the pharmacy would like to expand with 6 to 8 pharmacists to follow the patients closely at the ward and to check and, if necessary, adjust the prescriptions in consultation with the doctors and the nurses. In addition to pharmacists, the pharmacy is expanded with technical staff to take care of the functioning of the robot and the supporting ICT. The main lessons we learned from this visit: Choose care process specific optimization allowing for customization per type of care (acute, long stay...) and a customized solution for each ward. A robotic solution should not be a goal in itself. Develop for optimization of care and involve the nurses and doctors. Pharmacy automation is not a standalone project, but a project for the entire hospital. Deploy incrementally. Don t aim to develop a solution for the whole hospital at once. Start with one ward and follow the process very closely. Set clear goals but don t hold on to a too strict vision of the solution in advance. Let the patient and the care process be a guidance to achieve an optimal solution. IT is a very important factor for success for the optimization of the pharmacy process, since all patient information must be integrated. Finally, the solutions chosen by the CH de Valenciennes are not necessarily suitable and affordable for all hospitals. Valenciennes is a large hospital and as such having the numbers and resources and to realize such an example. Notwithstanding both large as smaller hospitals can learn and be inspired from the approach chosen in Valenciennes. We conclude with our gratitude to Etienne Cousein for the inspirational way he showed us his masterpiece. On behalf of hict, Jan Verstraete, Peter Deboutte and Rianne Welvaarts You re inspired and looking for more information on the subject? Then you can find a related video here: Claude-Bernard-developpee-par-RESIP_v221.html EZELSTRAAT 69 B BRUGGE BELGIUM PHONE: RPR/RPM: INFO@HICT.COM

How CHRISTUS Spohn Health System uses automation to improve standardization and re-deploy pharmacists to clinical functions

How CHRISTUS Spohn Health System uses automation to improve standardization and re-deploy pharmacists to clinical functions A culture of medication safety: How CHRISTUS Spohn Health System uses automation to improve standardization and re-deploy pharmacists to clinical functions Authored and produced by CareFusion, August 2013

More information

SAFE Standard of Care

SAFE Standard of Care SAFE Standard of Care THE NEW UK STANDARD OF CARE BANISH MEDICATION ERRORS We all know that when medication is prescribed, dispensed and administered correctly it can dramatically improve the quality of

More information

How Pharmacy Informatics and Technology are Evolving to Improve Patient Care

How Pharmacy Informatics and Technology are Evolving to Improve Patient Care How Pharmacy Informatics and Technology are Evolving to Improve Patient Care HealthcareIS.com 2 Table of Contents 3 Impact of Emerging Technologies 3 CPOE 5 Automated Dispensing Machines 6 Barcode Medication

More information

Introduction of Closed Loop Medication Management System for Inpatient Services in Singapore

Introduction of Closed Loop Medication Management System for Inpatient Services in Singapore Introduction of Closed Loop Medication Management System for Inpatient Services in Singapore Wu Tuck Seng Deputy Director & Head, Pharmacy Department National University Hospital (NUH), Singapore Medication

More information

We Simplify Medication Management

We Simplify Medication Management The Dose We Simplify Medication Management November 2016 Moving Forward with Marketing Wow, hello November! The air is cooler and leaves are beginning to fall. As we wrap up the current year and look

More information

Drug Distribution Services for Long Term Care Facilities. Susan L. Lakey, PharmD 1/11/06

Drug Distribution Services for Long Term Care Facilities. Susan L. Lakey, PharmD 1/11/06 Drug Distribution Services for Long Term Care Facilities Susan L. Lakey, PharmD 1/11/06 Drug distribution The process: Receipt / transcription of order Interpretation / evaluation of order Filling and

More information

Dispensing error rates and impact of interruptions in a simulation setting.

Dispensing error rates and impact of interruptions in a simulation setting. Geneva, February 2017 BD Study report Dispensing error rates and impact of interruptions in a simulation setting. Authors Pr Pascal Bonnabry, Head of Pharmacy Olivia François, pharmacist, Project Leader

More information

In-Patient Medication Order Entry System - contribution of pharmacy informatics

In-Patient Medication Order Entry System - contribution of pharmacy informatics In-Patient Medication Order Entry System - contribution of pharmacy informatics Ms S C Chiang BPharm, MRPS, MHA, FACHSE, FHKCHSE, FCPP Senior Pharmacist Chief Pharmacist s Office In-Patient Medication

More information

INSITE : Medication Management for Long-Term Care

INSITE : Medication Management for Long-Term Care INSITE : Medication Management for Long-Term Care InSite in-facility medication packaging and delivery technology by Talyst enables secure, automated medication dispensing on location at long-term care

More information

AUTOMATION TO IMPROVE THE SAFETY AND THE EFFICIENCY OF DRUG MANAGEMENT

AUTOMATION TO IMPROVE THE SAFETY AND THE EFFICIENCY OF DRUG MANAGEMENT AUTOMATION TO IMPROVE THE SAFETY AND THE EFFICIENCY OF DRUG MANAGEMENT Pr Pascal BONNABRY Head of pharmacy 8th Medication Safety Conference Abu Dhabi, November 6, 2015 Learning objectives At the end of

More information

Comparison on Human Resource Requirement between Manual and Automated Dispensing Systems

Comparison on Human Resource Requirement between Manual and Automated Dispensing Systems VALUE IN HEALTH REGIONAL ISSUES 12C (2017) 107 111 Available online at www.sciencedirect.com journal homepage: www.elsevier.com/locate/vhri Comparison on Human Resource Requirement between Manual and Automated

More information

Effect of automated drug distribution systems on medication error rates in a short-stay geriatric unit

Effect of automated drug distribution systems on medication error rates in a short-stay geriatric unit bs_bs_banner Journal of Evaluation in Clinical Practice ISSN 1365-2753 Effect of automated drug distribution systems on medication error rates in a short-stay geriatric unit Etienne Cousein PharmD MSc,

More information

OHTAC Recommendation. Implementation and Use of Smart Medication Delivery Systems

OHTAC Recommendation. Implementation and Use of Smart Medication Delivery Systems OHTAC Recommendation Implementation and Use of Smart Medication Delivery Systems July 2009 Background The Ontario Health Technology Advisory Committee (OHTAC) engaged the University Health Network s (UHN)

More information

A Connected and Automated Medicines Supply Chain Supported by Clinical Decision Support. Authors Dr Dennis Armstrong & Delia Dent, MBA

A Connected and Automated Medicines Supply Chain Supported by Clinical Decision Support. Authors Dr Dennis Armstrong & Delia Dent, MBA A Connected and Automated Medicines Supply Chain Supported by Clinical Decision Support Authors Dr Dennis Armstrong & Delia Dent, MBA Digitisation of elements of the medicines supply chain has greatly

More information

Unit dose requirements

Unit dose requirements Head of pharmacy GS1 HUG, Where are the errors? Avoidable adverse events in 6.5% of hospitalizations Bates DW, JAMA 1995;274:29 1 Human reliability Efficacy of human-performed controls Introduction of

More information

Identifying and Adopting an Integrated Solution that best fits you!!! Kumaravelu Country Manager

Identifying and Adopting an Integrated Solution that best fits you!!! Kumaravelu Country Manager Identifying and Adopting an Integrated Solution that best fits you!!! Kumaravelu Country Manager Medication Management Manual Process Pharmacy Controlled Substance cupboard 5% of medications Ward-stock

More information

REDUCING MEDICAL AND MEDICATION ERRORS THROUGH INFORMATION TECHNOLOGY AND PROCESS CHANGE. M. Patricia Maher Johns Hopkins Bayview Medical Center

REDUCING MEDICAL AND MEDICATION ERRORS THROUGH INFORMATION TECHNOLOGY AND PROCESS CHANGE. M. Patricia Maher Johns Hopkins Bayview Medical Center REDUCING MEDICAL AND MEDICATION ERRORS THROUGH INFORMATION TECHNOLOGY AND PROCESS CHANGE M. Patricia Maher Johns Hopkins Bayview Medical Center Background Acute Care Hospital- 355 beds Trauma center NICU-

More information

CHAPTER 31 DRUG DISTRIBUTION SYSTEMS

CHAPTER 31 DRUG DISTRIBUTION SYSTEMS CHAPTER 31 DRUG DISTRIBUTION SYSTEMS 31.1 NURSING ACTIVITIES RELATED TO MEDICATION IN A TYPICAL 120 BED FACILITY NURSING TASK AVERAGE HOURS TO ACCOMPLISH TASK Preparation of medical records for new admissions

More information

From Big Data to Big Knowledge Optimizing Medication Management

From Big Data to Big Knowledge Optimizing Medication Management From Big Data to Big Knowledge Optimizing Medication Management Session 157, March 7, 2018 Dave Webster, RPh MSBA, Associate Director of Pharmacy Operations, URMC Strong Maria Schutt, EdD, Director Education

More information

CASE STUDY: PENINSULA REGIONAL MEDICAL CENTER

CASE STUDY: PENINSULA REGIONAL MEDICAL CENTER CASE STUDY: PENINSULA REGIONAL MEDICAL CENTER Incorporating IV room efficiencies while striving toward improving patient care 111852 2K 01/13 Page 1 of 5 OVERVIEW Peninsula Regional Medical Center (PRMC),

More information

Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication

Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Version 2 minor update June 2013 Procedure Number Replaces Policy No. Ratifying Committee N/a PPPF Date Ratified April 2009 Minor

More information

Procedure 26 Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG

Procedure 26 Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG Introduction All health and social care organisations are accountable for ensuring the safe management of controlled drugs

More information

1 Title Improving Wellness and Care Management with an Electronic Health Record System

1 Title Improving Wellness and Care Management with an Electronic Health Record System HIMSS Stories of Success! Graybill Medical Group 1 Title Improving Wellness and Care Management with an Electronic Health Record System 2 Background Knowledge It is widely understood that providers wellness

More information

Trust Monitored Dosage System 0115 949 5421 email: mds@boots.co.uk 104628 12/05 Boots Monitored Dosage Service Group home service offer Trust contents Summary of offer 3 Monitored Dosage System 5 The Boots

More information

bd.com Pyxis Enterprise Server

bd.com Pyxis Enterprise Server Pyxis Enterprise Server Flexible enterprise-ready server deployment options The Pyxis Enterprise Server provides hospitals and health systems a scalable, flexible foundation for managing Pyxis ES platform

More information

2018 Hong Kong Pharmacy Conference. Strategic Planning for Pharmaceutical Services , Hospital Authority of Hong Kong

2018 Hong Kong Pharmacy Conference. Strategic Planning for Pharmaceutical Services , Hospital Authority of Hong Kong 2018 Hong Kong Pharmacy Conference Strategic Planning for Pharmaceutical Services 2017-2022, Hospital Authority of Hong Kong Ms Anna LEE Chief Pharmacist Hospital Authority Hong Kong 10 March 2018 Hospital

More information

Pharmacy Technician led model to reduce the rate of omitted medicines

Pharmacy Technician led model to reduce the rate of omitted medicines Pharmacy Technician led model to reduce the rate of omitted medicines By Fleur Baylis Lead Pharmacist Patient Safety Brighton and Sussex University Hospitals NHS Trust Outline NPSA alert Missed doses Trust

More information

Streamlining the medication order process

Streamlining the medication order process Streamlining the medication order process Pyxis Connect We went from a 2.5 hour order turnaround time to 16 minutes with the help of Pyxis products. Michael Borgmann Pharmacy Technology Specialist Avera

More information

Procedure For Taking Walk In Patients

Procedure For Taking Walk In Patients Procedure For Taking Walk In Patients 1. Welcome customers and accept prescription(s) from them. All Staff 2. Ensure that the patients personal details are correct and legible To ensure correct details

More information

IMPROVING MEDICATION RECONCILIATION WITH STANDARDS

IMPROVING MEDICATION RECONCILIATION WITH STANDARDS Presented by NCPDP and HIMSS for the Pharmacy Informatics Community IMPROVING MEDICATION RECONCILIATION WITH STANDARDS December 13, 2012 Keith Shuster, Manager, Acute Pharmacy Services, Norwalk Hospital

More information

Medicines Management Strategy

Medicines Management Strategy Medicines Management Strategy 2012 2014 Directorate responsible for the strategy: Medical and Governance Directorate Staff group to whom it applies: All clinical staff and Trust managers Issue date: 30/6/12

More information

Medication Reconciliation

Medication Reconciliation Medication Reconciliation The Care Transitions Network National Council for Behavioral Health Montefiore Medical Center Northwell Health New York State Office of Mental Health Netsmart Technologies Today

More information

Hardwiring Technology into Care Delivery to Increase HCAHPS

Hardwiring Technology into Care Delivery to Increase HCAHPS Hardwiring Technology into Care Delivery to Increase HCAHPS March 1, 2016 Peggy Grant, Ph.D. Director of Innovation and Performance Improvement Community Regional Medical Center Conflict of Interest Peggy

More information

Lesson 9: Medication Errors

Lesson 9: Medication Errors Lesson 9: Medication Errors Transcript Title Slide (no narration) Welcome Hello. My name is Jill Morrow, Medical Director for the Office of Developmental Programs. I will be your narrator for this webcast.

More information

Following are some common questions and answers from the hospital perspective regarding Manufacturing and Compounding :

Following are some common questions and answers from the hospital perspective regarding Manufacturing and Compounding : Health Canada Manufacturing and Compounding Drug Products in Canada: A Policy Framework : Guidelines for P.E.I. Community and Hospital Pharmacists October 2001 In response to pharmacists questions about

More information

CareFusion Overview Scott Bostick SVP/GM Pyxis Dispensing Technologies

CareFusion Overview Scott Bostick SVP/GM Pyxis Dispensing Technologies CareFusion Overview Scott Bostick SVP/GM Pyxis Dispensing Technologies New... But not novice Global revenue: $4 billion 6 th largest global company focused on med-tech More than 15,000 employees worldwide

More information

Workbook Describe pre-packaged medication and the process for its use in a health or disability context

Workbook Describe pre-packaged medication and the process for its use in a health or disability context Workbook Describe pre-packaged medication and the process for its use in a health or disability context US 23685 Level 2 Credits 2 Name Contents Before you start... 4 What is medication?... 7 Pre-packaged

More information

Best Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers

Best Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers Medicines Management in Care Homes Best Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers 1. Communication The care home manager, community pharmacist and GP surgery should

More information

CHAPTER:2 HOSPITAL PHARMACY. BY Mrs. K.SHAILAJA., M. PHARM., LECTURER DEPT OF PHARMACY PRACTICE, SRM COLLEGE OF PHARMACY

CHAPTER:2 HOSPITAL PHARMACY. BY Mrs. K.SHAILAJA., M. PHARM., LECTURER DEPT OF PHARMACY PRACTICE, SRM COLLEGE OF PHARMACY CHAPTER:2 HOSPITAL PHARMACY BY Mrs. K.SHAILAJA., M. PHARM., LECTURER DEPT OF PHARMACY PRACTICE, SRM COLLEGE OF PHARMACY DEFINITION: The practice of pharmacy within the hospital under the supervision of

More information

Medicines Management Policy

Medicines Management Policy Medicines Management Policy Name of Policy: Purpose of Policy: Directorate responsible for Policy Name & Title of Author: Medicines Management Policy The Southern HSC Trust recognises that almost all patients

More information

PACKAGING, STORAGE, INFECTION CONTROL AND ACCOUNTABILITY (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO:

PACKAGING, STORAGE, INFECTION CONTROL AND ACCOUNTABILITY (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO: LESSON PLAN: 7 COURSE TITLE: UNIT: II MEDICATION TECHNICIAN GENERAL PRINCIPLES SCOPE OF UNIT: This unit includes medication terminology, dosage, measurements, drug forms, transcribing physician s orders,

More information

Centre for Healthcare Assistive & Robotics Technology Charting Future Healthcare Delivery

Centre for Healthcare Assistive & Robotics Technology Charting Future Healthcare Delivery Centre for Healthcare Assistive & Robotics Technology Charting Future Healthcare Delivery Rapidly Aging Population in Singapore Rapidly aging population of Singapore 3 Meeting the Challenges i. Enabling

More information

Usage guidelines. Please refer to the usage guidelines at or alternatively contact

Usage guidelines. Please refer to the usage guidelines at   or alternatively contact Beard, R and Smith, Peter (2013) Integrated electronic prescribing and robotic dispensing: a case study. SpringerPlus, 2 (295). pp. 1-7. ISSN 2193-1801 Downloaded from: http://sure.sunderland.ac.uk/4045/

More information

Patients Own Medications Policy

Patients Own Medications Policy Department of Health and Human Services SYSTEM PURCHASING AND PERFORMANCE - MEDICATION STRATEGY AND REFORM SDMS Id Number: Patients Own Medications Policy Effective From: June 2014 Replaces Doc. No: Custodian

More information

Practice Spotlight. Children's Hospital Central California Madera, California

Practice Spotlight. Children's Hospital Central California Madera, California Practice Spotlight Children's Hospital Central California Madera, California http://www.childrenscentralcal.org Richard I. Sakai, Pharm.D., FASHP, FCSHP Director of Pharmacy Services IN YOUR VIEW, HOW

More information

Automated Unit Dose Drug Distribution System Business Case

Automated Unit Dose Drug Distribution System Business Case Business Case steps towards Safety, Integration, Standardization, and Consolidation November 2008 Prepared by: Pharmacy Leadership Team Dr. Shallen Letwin, Regional Director, Pharmacy Services Bruce Millin,

More information

Barcode Specimen Collection & Nurses MobiLab at Norman Regional Health System

Barcode Specimen Collection & Nurses MobiLab at Norman Regional Health System MobiLab at Norman Regional Health System Janet Johnson, Director Nursing Informatics Norman Regional Health System Phone/Fax: (405) 307-3099 E-mail: jjohnson@nrh-ok.com Linda Trask, Manager Laboratory

More information

Pharmacy Technicians: Improving pharmacy workflow through Technician Check Technician (TCT)

Pharmacy Technicians: Improving pharmacy workflow through Technician Check Technician (TCT) Pharmacy Technicians: Improving pharmacy workflow through Technician Check Technician (TCT) Michelle Potter, CPhT October 9, 2015 Disclosure I, Michelle Potter, have no financial relationship(s) to disclose

More information

Developing seven day services in hospital pharmacy: giving patients the care they deserve

Developing seven day services in hospital pharmacy: giving patients the care they deserve Developing seven day services in hospital pharmacy: giving patients the care they deserve Dr Catherine Duggan, FRPharmS RPS Director of Professional Development and Support Why seven day services? Why

More information

The Mirror to Hospital Pharmacy

The Mirror to Hospital Pharmacy Fifty years of advancement in American hospital pharmacy Douglas J. Scheckelhoff ar Layar The Mirror to Hospital Pharmacy not only served an important role in assessing the state of pharmacy practice in

More information

Please adjust your computer volume to a comfortable listening level. This is lesson 5 How to take medication properly.

Please adjust your computer volume to a comfortable listening level. This is lesson 5 How to take medication properly. Welcome to the Pennsylvania Department of Public Welfare (DPW), Office of Developmental Programs (ODP) Medication Administration Course for life sharers. This course was developed by the ODP Office of

More information

BUSINESS CASE. Implementation of Bar code Medication Administration System at the Sault Area Hospital (SAH)

BUSINESS CASE. Implementation of Bar code Medication Administration System at the Sault Area Hospital (SAH) BUSINESS CASE Implementation of Bar code Medication Administration System at the Sault Area Hospital (SAH) With the permission of the SAH, CSHP removed Date: August 25, 2009 content that would have identified

More information

Clinical pharmacists in general practice links with community pharmacy

Clinical pharmacists in general practice links with community pharmacy Introduction Pharmacists employed in the GP clinical pharmacist NHS England programme are encouraged to complete online activity recording. One of the activities records how they are working with community.

More information

Supply chain in healthcare

Supply chain in healthcare Supply chain in healthcare Comparison between North-West Italy and Catalunya Author: Maria Fabregat Corominas Professor: Carlo Rafele Torino, 30th June 2011 Index 1. Introduction 5 2. Healthcare logistics

More information

E-health and the Digital Hospital

E-health and the Digital Hospital E-health and the Digital Hospital Presentation to The Quantum Leap Health Innovation: Making Quality Count 9 September 2014 Richard Royle UnitingCare Health Executive Director The Wesley Hospital 536

More information

University of Michigan Health System. Final Report

University of Michigan Health System. Final Report University of Michigan Health System Program and Operations Analysis Analysis of Medication Turnaround in the 6 th Floor University Hospital Pharmacy Satellite Final Report To: Dr. Phil Brummond, Pharm.D,

More information

Pharmacy Technician Reference Guide. Written by Emily Moore

Pharmacy Technician Reference Guide. Written by Emily Moore Pharmacy Technician Reference Guide Written by Emily Moore Table of Contents iii Table of Contents Introduction... vii Chapter 1: Using Intercom Plus... 3 Understanding the Work Queue... 3 Using Quick-Keys...

More information

UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2017 October 1 st, 2016

UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2017 October 1 st, 2016 UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2017 October 1 st, 2016 Department Name: Department of Pharmacy Department Director: Steve Rough, MS,

More information

New Zealand electronic Prescription Service

New Zealand electronic Prescription Service New Zealand electronic Prescription Service Medtech32 Electronic Prescribing User Guide Medtech Global 48 Market Place, Viaduct Harbour, Auckland, New Zealand P: 0800 2 MEDTECH E: support@medtechglobal.com

More information

Constant Pursuit of Medication Safety. Geraldine Koh Chief Pharmacist

Constant Pursuit of Medication Safety. Geraldine Koh Chief Pharmacist Constant Pursuit of Medication Safety Geraldine Koh Chief Pharmacist 1 Alexandra Hospital 400 beds Multi discipline except Paeds & ObGyn Restructured in Oct 2000 Transformation Creating A Safety Culture

More information

SELF ADMINISTRATION OF MEDICATIONS PROGRAMME FOR REHABILITATION & RECOVERY SERVICES AND LOW/MEDIUM SECURE SERVICES

SELF ADMINISTRATION OF MEDICATIONS PROGRAMME FOR REHABILITATION & RECOVERY SERVICES AND LOW/MEDIUM SECURE SERVICES MENTAL HEALTH DIRECTORATE POLICY SELF ADMINISTRATION OF MEDICATIONS PROGRAMME FOR REHABILITATION & RECOVERY SERVICES AND LOW/MEDIUM SECURE SERVICES Originator: Mental Health Policies and Procedures Group

More information

MODULE 5: RECORDING & ERRORS

MODULE 5: RECORDING & ERRORS MODULE 5: RECORDING & ERRORS 5.1 Recording Administration Using a Medication Administration Record (MAR) Chart Care providers are responsible for maintaining an up-to-date record of medication administered.

More information

04/08/2015. Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists. Pharmacist Objectives. Technician Objectives

04/08/2015. Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists. Pharmacist Objectives. Technician Objectives 1 2 Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists Stacey Zorska, Pharm.D., MHA Director of Pharmacy Services Southwest General Middleburg Heights, OH Pharmacist Objectives

More information

The Medicines Policy. Chapter 3: Standards of Practice ORDERING WARD STOCK AND NON-STOCKS INPATIENT ITEMS

The Medicines Policy. Chapter 3: Standards of Practice ORDERING WARD STOCK AND NON-STOCKS INPATIENT ITEMS POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

Conflict of Interest. Objectives. The Solution. The Need. Reaching for the Stars Advanced Roles for Pharmacy Technicians.

Conflict of Interest. Objectives. The Solution. The Need. Reaching for the Stars Advanced Roles for Pharmacy Technicians. 8/14/2014 Reaching for the Stars Advanced Roles for Pharmacy Conflict of Interest No conflicts of interest to disclose Informatics Bryan Shaw, Pharm.D. PGY-1 Non-Traditional Resident Northwestern Memorial

More information

End-to-end infusion safety. Safely manage infusions from order to administration

End-to-end infusion safety. Safely manage infusions from order to administration End-to-end infusion safety Safely manage infusions from order to administration New demands and concerns 56% 7% of medication errors are IV-related. 1 of high-risk IVs are compounded in error. 2 $3.5B

More information

How can the labelling and the packaging of drugs impact on drug safety? Prof. Pascal BONNABRY. Head of pharmacy. Swissmedic, Bern, June 19, 2007

How can the labelling and the packaging of drugs impact on drug safety? Prof. Pascal BONNABRY. Head of pharmacy. Swissmedic, Bern, June 19, 2007 How can the labelling and the packaging of drugs impact on drug safety? Head of pharmacy Swissmedic, To err is human (USA) Serious adverse events in 3% [2.9-3.7%] of hospitalizations 10% [8.8-13.6%] of

More information

DISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO. PANEL: Joanne Furletti, RN Chairperson Rosalie Woods, RPN Member

DISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO. PANEL: Joanne Furletti, RN Chairperson Rosalie Woods, RPN Member DISCIPLINE COMMITTEE OF THE COLLEGE OF NURSES OF ONTARIO PANEL: Joanne Furletti, RN Chairperson Rosalie Woods, RPN Member Gino Cucchi Public Member John Bald Public Member BETWEEN: COLLEGE OF NURSES OF

More information

Delivering ROI. The Case for an Output Management Solution for Hospitals

Delivering ROI. The Case for an Output Management Solution for Hospitals Delivering ROI The Case for an Output Management Solution for Hospitals The Case for an Output Management Solution for Hospitals Hospitals nationwide are facing financial pressures to improve efficiencies

More information

Fettle house Procedure for self medication

Fettle house Procedure for self medication Appendix 1 Fettle house Procedure for self medication As a rehabilitation unit one of our most important roles is to prepare clients to the best of their ability to manage their medication. Each individual

More information

Executive Summary points to consider by organisations providing Primary and Community Health services

Executive Summary points to consider by organisations providing Primary and Community Health services pecialist Pharmacy ervice Medicines Use and afety A ummary of Pharmacy upport required to deliver Medicines Optimisation in Primary Care based and Community Health ervices: A guide for Organisational Boards

More information

Optimizing Medication Distribution using Automated Dispensing Cabinets

Optimizing Medication Distribution using Automated Dispensing Cabinets Optimizing Medication Distribution using Automated Dispensing Cabinets Conflict of Interest Declaration I have no actual or potential conflicts of interest in relation to this presentation or activity

More information

Guidance for Medication Reconciliation and System Integration Process

Guidance for Medication Reconciliation and System Integration Process Guidance for Medication Reconciliation and System Integration Process Identifying points of failure within the medication reconciliation process and determining systematic approaches (via health IT) to

More information

SFHPHARM27 - SQA Unit Code FA2P 04 Undertake an in-process accuracy check of assembled prescribed items prior to the final accuracy check

SFHPHARM27 - SQA Unit Code FA2P 04 Undertake an in-process accuracy check of assembled prescribed items prior to the final accuracy check Undertake an in-process accuracy check of assembled prescribed items prior to the final accuracy check Overview This standard describes the skills, knowledge and understanding required to demonstrate competence

More information

D DRUG DISTRIBUTION SYSTEMS

D DRUG DISTRIBUTION SYSTEMS D DRUG DISTRIBUTION SYSTEMS JANET HARDING ORAL MEDICATION SYSTEMS Drug distribution systems in the hospital setting should ideally prevent medication errors from occurring. When errors do occur, the system

More information

Transition from Hospital to Home: Importance of Medication Education and Reconciliation

Transition from Hospital to Home: Importance of Medication Education and Reconciliation Transition from Hospital to Home: Importance of Medication Education and Reconciliation Julie Baron, PharmD, CGP, BCACP/Clinical Pharmacy Specialist/Kaiser Permanente Lindsay Salsburg, PharmD, BCACP/Clinical

More information

CASE STUDY NORMAN REGIONAL HEALTH SYSTEM BOOSTING PATIENT SAFETY WITH ACCESS SOLUTIONS

CASE STUDY NORMAN REGIONAL HEALTH SYSTEM BOOSTING PATIENT SAFETY WITH ACCESS SOLUTIONS CASE STUDY NORMAN REGIONAL HEALTH SYSTEM BOOSTING PATIENT SAFETY WITH ACCESS SOLUTIONS Choosing Access is one of the most solid business decisions we ve made in a long time. It has solved problems and

More information

European Association of Hospital Pharmacists (EAHP)

European Association of Hospital Pharmacists (EAHP) European Association of Hospital Pharmacists (EAHP) Consultation Response Delegated Act on the detailed rules for a unique identifier for medicinal products for human use, and its verification. April 2012

More information

Penticton & District Community Resources Society. Child Care & Support Services. Medication Control and Monitoring Handbook

Penticton & District Community Resources Society. Child Care & Support Services. Medication Control and Monitoring Handbook Penticton & District Community Resources Society Child Care & Support Services Medication Control and Monitoring Handbook Revised Mar 2012 Table of Contents Table of Contents MEDICATION CONTROL AND MONITORING...

More information

Derbyshire Medicines Management on behalf of Southern Derbyshire CCG, Erewash CCG, North Derbyshire CCG & Hardwick CCG

Derbyshire Medicines Management on behalf of Southern Derbyshire CCG, Erewash CCG, North Derbyshire CCG & Hardwick CCG Derbyshire Medicines Management on behalf of Southern Derbyshire CCG, Erewash CCG, rth Derbyshire CCG & Hardwick CCG CCG Position Statement on the Supply of Multi-Compartment Compliance Aids (MCAs) There

More information

Electronic Medication Reconciliation and Depart Process Overview Nursing Deck

Electronic Medication Reconciliation and Depart Process Overview Nursing Deck Electronic Medication Reconciliation and Depart Process Overview Nursing Deck Revised: 8/16/2011 1 Introduction To achieve the highest standard of care that our system aspires to, as well as to meet the

More information

RFID-based Hospital Real-time Patient Management System. Abstract. In a health care context, the use RFID (Radio Frequency

RFID-based Hospital Real-time Patient Management System. Abstract. In a health care context, the use RFID (Radio Frequency RFID-based Hospital Real-time Patient Management System Abstract In a health care context, the use RFID (Radio Frequency Identification) technology can be employed for not only bringing down health care

More information

This controlled document shall not be copied in part or whole without the express permission of the author or the author s representative.

This controlled document shall not be copied in part or whole without the express permission of the author or the author s representative. This document is also available in large print and other formats and languages, upon request. Please call NHS Grampian Corporate Communications on (01224) 551116 or (01224) 552245. This controlled document

More information

Zebra Printing Solutions

Zebra Printing Solutions healthcare Zebra Printing Solutions Getting Started on Barcode Adoption. Zebra barcoding helps healthcare facilities identify, track and manage people, processes and assets. Positive patient identification

More information

Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02

Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02 Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02 V02 issued Issue 1 May 11 Issue 2 Dec 11 Planned review May

More information

A powerful medication management tool for the new healthcare environment

A powerful medication management tool for the new healthcare environment Pyxis ES platform: A powerful medication management tool for the new healthcare environment Introduction Medication management practices have become more complex and demanding as the continuum of care

More information

THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 251

THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 251 THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 251 Exhibit 1: Skills Checklist for Medication Administration Person trained: Position: Instructor: Type of Medication Administration (Oral, Topical etc.): (*See

More information

VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES

VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES Patient Safety: Medication Reconciliation and Management VNAA Best Practice for Hospice and Palliative Care Medication Reconciliation and Adherence

More information

The Good Samaritan Society CHOICE Program. Client Handbook. In Co-operation with Alberta Health Services

The Good Samaritan Society CHOICE Program. Client Handbook. In Co-operation with Alberta Health Services The Good Samaritan Society CHOICE Program Client Handbook In Co-operation with Alberta Health Services We Want to Hear from You We are committed to providing a high standard of care, tailored to fit your

More information

A Connected and Automated Medicines Supply Chain Supported by Clinical Decision Support

A Connected and Automated Medicines Supply Chain Supported by Clinical Decision Support A Connected and Automated Medicines Supply Chain Supported by Clinical Decision Support Authors Dr Dennis Armstrong & Delia Dent, MBA 02 A CONNECTED AND AUTOMATED MEDICINES SUPPLY CHAIN SUPPORTED BY CLINICAL

More information

Case Study: Unit-Dose Implementation at the Ross Memorial Hospital Slow but Sure, Through Small Cycles of Change

Case Study: Unit-Dose Implementation at the Ross Memorial Hospital Slow but Sure, Through Small Cycles of Change INTRODUCTION Case Study: Unit-Dose Implementation at the Ross Memorial Hospital Slow but Sure, Through Small Cycles of Change Prepared by S. Fockler, RPh, Director of Pharmacy December 30, 2010 Updated

More information

Pharmacy & Sterilisation

Pharmacy & Sterilisation HUG Pharmacy & Sterilisation Prof. Pascal BONNABRY M. Hervé NEY Berner Fachhochschule Geneva, September 13, 2013 Agenda 13h45 14h00 15h00 17h00 18h00 HUG presentation Theoretical introduction, processes

More information

Structured Practical Experiential Program

Structured Practical Experiential Program 2017/18 Structured Practical Experiential Program PHARMACY STUDENT AND INTERN ROTATIONS RESOURCE COLLEGE OF PHARMACISTS OF MANITOBA COLLEGE OF PHARMACY RADY FACULTY OF HEALTH SCIENCES UNIVERSITY OF MANITOBA

More information

Pharmacy Technicians and Interns: Charting New Territory

Pharmacy Technicians and Interns: Charting New Territory Pharmacy Technicians and Interns: Charting New Territory Peter Dippel Pharm.D, BCPS Clinical Pharmacist II Baptist Health Medical Center NLR Objectives Understand what Pharmacist Extenders are and why

More information

Profiles in CSP Insourcing: Tufts Medical Center

Profiles in CSP Insourcing: Tufts Medical Center Profiles in CSP Insourcing: Tufts Medical Center Melissa A. Ortega, Pharm.D., M.S. Director, Pediatrics and Inpatient Pharmacy Operations Tufts Medical Center Hospital Profile Tufts Medical Center (TMC)

More information

Data Capture at the Point of Care Guide For Resellers

Data Capture at the Point of Care Guide For Resellers Data Capture at the Point of Care Guide For Resellers Todays Topics What s Driving Healthcare? Hospital Applications Differentiators & Alternative Solutions Healthcare Certifications / Partners Wrap up

More information

LEAN Transformation Storyboard 2015 to present

LEAN Transformation Storyboard 2015 to present LEAN Transformation Storyboard 2015 to present Rapid Improvement Event Med-Surg January 2015 Access to Supply Rooms Problem: Many staff do not have access to supply areas needed to complete their work,

More information

Telepharmacy: How One Wyoming Pharmacy Makes it Work

Telepharmacy: How One Wyoming Pharmacy Makes it Work Telepharmacy: How One Wyoming Pharmacy Makes it Work Panel: Scot Schmidt, PharmD with Kevin Smith, Telehealth Cord. Wyoming Telehealth Network November 29, 2017 Telepharmacy: How One Wyoming Pharmacy Makes

More information

Medicines Reconciliation Standard Operating Procedures

Medicines Reconciliation Standard Operating Procedures Creator Sam Carvell, Amber Wynne, Sue Coppack Version 1 Review Date Medicines Reconciliation Standard Operating Procedures Purpose of SOP This standard operating procedure (SOP) provides a framework for

More information

COMPASS Phase II Incident Analysis Report Prepared by ISMP CANADA February 2016

COMPASS Phase II Incident Analysis Report Prepared by ISMP CANADA February 2016 COMPASS Phase II Incident Analysis Report Prepared by ISMP CANADA February 2016 INTRODUCTION Incidents as part of COMPASS (Community Pharmacists Advancing Safety in Saskatchewan) Phase II reported by 87

More information