Jerry Fahrni

Pharmacy Informatics and Technology

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Monthly Archives: December 2009

Barcode scanner dilemma

Posted on December 15, 2009 by Jerry Fahrni
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barcode_scanAs barcoding in pharmacies grows in popularity I get exposed to more and more barcoding equipment; particularly barcode scanners. Our carousels utilize barcode scanners from Code Corp, our AutoPack system utilizes a barcode scanner from Honeywell – previously Handheld – and our barcode medication administration system will use a yet-to-be-determined scanner. In addition, I’ve accumulated a nice collection of various scanners in my office including wireless, Bluetooth and tethered.
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Categories: Barcoding | Tags: Barcode Reader, Barcode Scanners, Barcoding

Requirements for a pharmacy informatics professional

Posted on December 14, 2009 by Jerry Fahrni
4 Comments

In a post from ASHP Midyear I mention that “pharmacists are highly educated clinicians that deserve to practice informatics at that same level. [They] should be the individual involved in making sure that systems are designed to include pharmacy workflow, that the reports being written provide the necessary information to be clinically relevant, that current clinical standards are adhered to during implementation of new systems, be the representative at the table during discussions of integration and interoperability of hospital systems, etc”

A couple of things caught my eye since writing those words and I would like to share them with you here.
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Categories: Pharmacy Informatics | Tags: Pharmacy Future, Pharmacy Informatics, Pharmacy School

Cool Technology for Pharmacy

Posted on December 10, 2009 by Jerry Fahrni
4 Comments

My Cool Technology for Pharmacy this week strays a little from my normal hardware and software approach and focuses on the concept of RxNorm. The reason for this deviation is simple; my ignorance of RxNorm was never more evident than during my time at ASHP Midyear this week. I don’t like it when I lack understanding of what people are talking about, and this happened on a couple of occasions during discussions involving RxNorm. This was especially true during a presentation by Dr. Usha Desiraju of First DataBank. Dr. Desiraju’s presentation focused on the use of RxNorm and interoperability.

So I was forced to do a little reading. The entire idea seems simple enough, but like many good ideas implementation and acceptance is a little like trying to push the wrong end of two magnets together. In the simplest terms I can muster, think of RxNorm as a standardized language used to identify each unique medication across multiple systems.
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Categories: Cool Technology | Tags: cool, Cool Stuff, Pharmacy, Pharmacy Informatics, RxNorm

Update ASHP #Midyear2009

Posted on December 9, 2009 by Jerry Fahrni
3 Comments

Today was a good day for informatics at ASHP Midyear.

Pharmacy 2.0: How the Web is Changing How We Practice
This was a great session moderated by John Poikonen (@poikonen), PharmD or RxInformatics.com. John defined Pharmacy 2.0 as the combination of ASHP’s practice model, participatory medicine, health reform, and self-reform, i.e. changing the way you work. In an interesting move Poikonen asked the audience how many of them were familiar with the term “hashtag” and mentioned the use of #Midyear2009 as a way to follow the meeting on Twitter. Unfortunately very few pharmacists raised their hand to acknowledge the term. I wish we had a way to quantify the number, but it was only 10-20 in a crowd of a couple hundred. It’s obvious that the crowd had an interest in the subject by their presence, but as I already suspected pharmacy has a long way to go before we can be considered tech savvy.

Todd Eury (@toddeury) of Pharmacy Technology Resources and Pharmacy Web 2.0 presented on “Healthcare System Communications Evolution: Pharmacy and Web 2.0”. In his presentation he introduced many of the most commonly used social media available today; specifically LinkedIn, Twitter and Facebook. He did an excellent job of defining their role in pharmacy practice and communicating not only their benefits, but pitfalls as well. One thing of particular interest in Eury’s presentation was the need to monitor your online reputation and occasionally “Google yourself”. Try it; you’ll be surprised at what you find.

Kevin Clauson (@kevinclauson), PharmD of Nova Southeastern University College of Pharmacy presented “A Pharmacist’s Web 2.0 Toolkit for Information Management.” He covered the use of RSS Readers, like Google Reader, PeRSSonalized, and Clinical Reader, as well as Twitter and Evernote as a way for pharmacists to keep up with the ever changing world of information that we have to digest and assimilate. I consider myself pretty well versed in the ways of the web, but Kevin offered up some great pearls of wisdom that I can immediately put into practice.

The final segment of the Pharmacy 2.0 session was a video presentation by Dr. Daniel Sands (@drdannysands) in which he spoke about physician’s use of social media and the web to communicate with his patients. He also covered ways that patients can get involved in their own healthcare through the use of online societies specific to their condition. Dr. Sands spent several minutes in the video interviewing physicians in his own practice about their views on social media and its impact on their relationship with patients. Not surprising some physicians spoke positively about the technology, while others were not so flattering.

Pharmacy Informatics Education Networking Session
This session offered up some of the most interactive discussion that I’ve been involved with during my time here at Midyear. The discussion centered on what informatics education standards should be for pharmacy students and how that should translate into a “qualified informatics pharmacist”. It was interesting to see the difference in opinions from pharmacist to pharmacist. While I won’t go into exactly what was covered I think everyone in that room needs to remember that pharmacists are highly educated clinicians that deserve to practice informatics at that same level. A <insert title here; clinical informaticist, Informatics pharmacist, pharmacy informaticist, clinical informatics pharmacist, medication management informaticist> should not be the guy sitting in a cubicle writing reports day in and day out, or the guy that has to edit each line item in the pharmacy information system because “G” should be “GM”. The <insert title here> should be the individual involved in making sure that systems are designed to include pharmacy workflow, that the reports being written provide the necessary information to be clinically relavent, that current clinical standards are adhered to during implementation of new systems, be the representative at the table during discussions of integration and interoperability of hospital systems, etc. Pharmacy informatics is a young discipline and a step in the wrong direction can harm the profession for years to come.

Informatics Bytes 2009: Pearls of Informatics
This session, which is still going on, has a little bit of everything when it comes to pharmacy informatics and patient safety. They announced that the session would be recorded. Maybe they’ll even create a podcast out of it; one can only hope.

Categories: Pharmacy Informatics | Tags: Medication Safety, Patient Safety, Pharmacy Informatics, Pharmacy Web 2.0, Social networks, Social Technology

Exhibit Hall ASHP #Midyear2009

Posted on December 8, 2009 by Jerry Fahrni
9 Comments

I finally had an opportunity to roam around the exhibit hall at the ASHP Midyear today. Of course I had to sacrifice a session to attend, but it was worth it. If you’ve never been in the exhibit hall at one of these events you owe it to yourself to check it out.
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Categories: Barcoding, Pharmacy Informatics | Tags: ASHP Midyear, Droid, Drug information, Pharmacy Informatics

Update ASHP #Midyear2009

Posted on December 7, 2009 by Jerry Fahrni
2 Comments

The first, and most interesting, session I attended today was “Integrating Technology to Improve Medication-Use Patient Safety”. The session was sponsored by Hospira and consisted of three separate speakers covering areas of the medication–use process where breakdowns typically occur. The focus was on closed-loop medication administration. I’m sure there are different opinions on what closed-loop medication administration is, but for our purposes it consists of orders from the time written until the medication is administered to the patient. Many technologies were discussed, including computerized provider order entry (CPOE), bar code medication administration (BCMA), intelligent infusion devices (IIDs), and electronic medication records (EMRs) among others.
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Categories: Pharmacy Informatics | Tags: ASHP Midyear, Medication Safety, Patient Safety, Social Technology

Talyst User Group – ASHP #Midyear2009

Posted on December 6, 2009 by Jerry Fahrni
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Tonight’s ASHP activity consisted of attending the Talyst User Group. It was a pretty big turnout, probably three times the size of the one I attended in Chicago in June.
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Categories: Pharmacy Informatics | Tags: ASHP Midyear, Pharmacy Automation, Pharmacy Informatics, Talyst

ASHP Midyear 2009 – “The Plan”

Posted on December 5, 2009 by Jerry Fahrni
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I’m sitting in the airport waiting for my plane to board and getting my agenda together. Below is my plan of attack for my time in Vegas. Of course it’s all just speculation at this point as I have an affinity to stray from my plans based on what I find interesting.  I also need to find some time for the exhibit hall, where I will undoubtedly waste countless hours wondering around checking out all the cool technology.

Sunday
- Talyst User Group, 2:00 – 5:00 PM

Monday
- IV Sedation in the Intensive Care Unit: Applying Pharmacoeconomic Principles, 6:15-7:45 AM
- Opening Session, 9:00-10:30 AM
- Integrating Tech to Improve Medication-Use and Patient Safety, 11:30AM – 1:30 PM
- Does the Shoe Fit? Selecting Robotic IV Technology for Pediatric Sites, 2:00-5:00 PM
- Section Advisory Group on Ambulatory Care Informatics Networking Session, 5:15-6:15 PM
- Pharmacy OneSource Happy Hour, 5:30-7:00 PM

Tuesday
- BCMA: Inpatient & Outpatient Trends, Metrics, and Innovations, 8:00-9:30 AM
- On the Bleeding Edge of Technology: Overcoming Implementation Challenges with Informatics, 10:00-11:00 AM
- Section Advisory Group on Pharmacy Operations Automation Networking Session, 11:15 AM – 12:30 PM

Here’s where it get fuzzy. There are 4 sessions in the 2:00-5:00PM slot that I want to attend; not sure what I’m going to do just yet.

- Redefining the Practice Model: Where Have We Been, Where Do We Go? 2:00-5:00PM
- Rule of Thumb: A Look at Positive ID, Secondary Authentication, and Health IT Regulation, 2:00-4:00 PM
- Powerful Impact of Human Factors Engineering on Medication Safety, 2:30-4:00 PM
- More Than a Vending Machine: Effectively Planning and Implementing Carousel/Packager Technology, 4:00-5:00 PM

Wednesday
- Pharmacy 2.0: How the Web is Changing How We Practice, 8:00-9:45 AM
- Section Advisory Group on Pharmacy Informatics Education Networking Sessions, 11:15 AM – 12:30 PM
- Informatics Bytes 2009: Pearls of Informatics, 2:00-5:00 PM

Unfortunately I return home on Wednesday night, which means I will miss the following sessions that I would like to attend, especially the first one listed.

Thursday
- Does Current Technology/Automation Need to Change to Advance Pharmacy Technician Dispensing? 9:30 AM -12 NOON
- Strategies for Successfully Implementing ADMs and CPOE into the Medication Management System, 2:00-4:00 PM

Categories: Pharmacy Informatics | Tags: ASHP, ASHP Midyear, Pharmacy Informatics

“What’d I miss?” – Week of November 29th

Posted on December 5, 2009 by Jerry Fahrni
2 Comments

As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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Categories: What'd I miss | Tags: box office, eReaders, Google Wave, Medication Safety, Mobile phone, Pharmacy Informatics, Tablet PCs

Cool Technology for Pharmacy

Posted on December 3, 2009 by Jerry Fahrni
7 Comments

Entering and making pediatric drips for pharmacists working in an adult hospital can be a real sphincter tightener. Pharmacists that aren’t accustomed to working with pediatric patients feel a little bit uneasy when an order shows up for a customized dopamine, dobutamine, etc. I remember working in a pediatric facility where we did this kind of thing all the time and no one gave it a second thought. We used a combination of two standardized concentrations, hi and low, for each commonly ordered drip. For code blue situations we often used the “Rule of 6’s”, which is now discouraged by the Joint Commission.
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Categories: Cool Technology, Medication Safety | Tags: Cool Stuff, Medication Safety, Patient Safety, Pharmacy Informatics
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