Month: September 2009

Wikipedia as a drug reference….bad idea.

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Medicine 2.0 Congress blogspot : “Readability of the Top 50 Prescribed Drugs in Wikipedia  – Devin explained that a sample of 50 most prescribed drug in United State were selected and the content related to those prescribed drugs in Wikipedia were indentified and saved as HTML files for evaluation. Each Wikipedia entry was analyzed independently … Read more

Epocrates in the news this week

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Epocrates is a suit of mobile medical reference material, with their drug information application being the most popular. The applications are available for a variety of mobile devices including Palm, Windows Mobile, BlackBerry, and of course the iPhone. Despite the popularity of Epocrates I still think Lexi-Comp offers better products for mobile devices. FierceMobileHealthcare: “Epocrates: … Read more

Hypatia research study only states the obvious

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EMR Daily News: “Hypatia Research, LLC today released a report entitled “What Healthcare CIOs Need to Know About ARRA & EHR: Healthcare Technology Solutions & Service Providers”. Beyond the obvious value of centralized access to patient data, Hypatia Research discerned that electronic records systems provide health providers with multiple benefits: 1. ACCURACY& ERROR-CHECKS; 2. REPORTING; … Read more

Thoughts on speech recognition in pharmacy

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I still work in the pharmacy on occasion. It keeps me up to date with changes that I’ve made to various pharmacy systems and gives me the opportunity to make sure my pharmacist skills haven’t evaporated. One thing it doesn’t do is get me away from my current technology related duties. In fact it puts me closer to the action and even more accessible to pretty much everyone, which means I spend a majority of my “staffing” time dealing with things related to our automation; carousel picks and loads, packager fills, compunder checking, labeler input and checking, minor troubleshooting, etc. It’s not that someone else can’t do it, but that’s the way it works out.

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Sabotaging an idea – hybrid clouds?

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InformationWeek: “What if, instead, applications throughout the data center could run at closer to 90% utilization, with the workload spikes sent to cloud service providers (a process called “cloudbursting”)? What if 85% of data center space and capital expenses could be recouped, with a small portion of that savings allocated for the expense of sending … Read more

Best iPhone / iPod Touch Applications for Pharmacists

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iPhone_pharmappsThe iPhone and iPod Touch have created quite a wave in healthcare, and along with the wave has come a plethora of healthcare applications. The user interface on the iPhone/iPod Touch combined with the ease of accessing applications on Apple’s iTunes store and the relatively inexpensive nature of most applications, have made these devices a favorite among healthcare professionals.

With the volume of healthcare related applications available, I’m surprised at how few I actually use. I spend quite a bit of time surfing the app store looking for new applications that I can apply to pharmacy. I’ve downloaded numerous applications, but have deleted most for one reason or another.

My “research” has led to the list below of applications that I find most useful as a pharmacist.

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Cool Technology for Pharmacy

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The Capsule Machine

profill_capmachineCapsule machines don’t exactly automate the process of filling capsules from scratch, but they sure do speed up the process. Anyone that has spent time punching capsules by hand will appreciate what a capsule machine can do for you. They are a real time saver.

Devices like these are used almost exclusively by compounding pharmacies and typically make up to 100 capsules at a time. Sure there are bigger capsule machines out there, but they typically aren’t used in community based pharmacies. I spent many hours in just such a pharmacy using capsule machines to make all sorts of things for both human and animal consumption. I don’t know how many thousand capsules I made, but rest assured it was a lot.

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Pediatric labels for bar code medication administration (BCMA)

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One of the questions marks surrounding BCMA, known as MAK in Siemens language, is how to label pediatric oral syringes. Unlike most adult unit-dosed medications, pediatric dosages come in a variety of sizes. Where an adult patient may receive 25mg of captopril, a pediatric patient may receive a range of doses based on weight (0.15-0.3 mg/kg/dose for infants). The captopril tablet used by adults is barcode ready from the manufacturer. The pediatric dose, on the other hand, is not. For pediatric patients we compound a 0.75mg/mL oral suspension and pull the doses into oral syringes based on the provider’s order. Captopril is only one example as we do the same for hydralazine, spironolactone, propranolol, sildenafil, etc.

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