Scanning difficulties with certain barcodes

I’ve been following the Twitter stream from the ASHP Midyear in Tampa (#ashpsm10). Sunday morning I saw a Tweet from Karl Gumpper come through the ticker stating “ASHP Statement on Barcode on Inventory, Compound & Dispense approved by House of Delegates.” That’s a good thing.

The ASHP Statement on Bar-code Verification During Inventory, Preparation, and Dispensing of Medications can be found here. I re-read the paper Monday morning. There is a lot of good information throughout the document, but I one paragraph in particular caught my attention. “In addition, for BCMA to function, a vast majority of doses must be accurately bar coded, meaning there must be a highly reliable relationship between the information in the bar code and the contents of the dose. Additionally, the bar code must be readable by commercially-available scanners. Although doses delivered directly from manufacturer-labeled packages generally meet these conditions, there are numerous drug products that may not.” This makes sense as a bar-code is useless if it can’t be easily read by a scanner.  And believe me when I say that we find our fair share of bar-codes that don’t want to cooperate. The same can be said for bar-code scanners. I’ve heard people say that almost any of the new bar-code scanners today will do the job. I humbly disagree as I’ve had the misfortune of using some awful bar-code scanners on our way to settling on those currently used in our facility. Some of it is personal preference, but some of it is quality of the device. I’ve written about my opinion for consistency with scanning hardware before.

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Participating in the ASHP Summer Meeting from afar #ashpsm10

The inability to physically be in Tampa, FL shouldn’t stop someone from participating in the ASHP Summer Meeting. Technology doesn’t care that I’m 2700 miles away or that I’m sitting in my home in my bunny slippers with Diet Pepsi in hand. With a webcam and speaker phone I was able to join a user group discussion held by Talyst.

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Cool Technology for Pharmacy – Practice Fusion EMR

Practice Fusion is a company based out of San Francisco that offers a free web-based electronic medical record (EMR), or is it electronic health record (EHR). To the best of my knowledge Practice Fusion was founded in 2005 and has been rapidly expanding ever since. Practice Fusion offers its EMR software free of charge in exchange for putting up with a few advertisements. The advertisements are non-obtrusive and don’t appear to get in the way of any of the application’s functionality. In fact, I didn’t even notice them. The best part of this revenue model is that it makes the software freely accessible to any physician that would like to use it. In addition, users are not required to install any new hardware of software. Very nice.

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Update on AutoPharm software only pilot

A couple of months ago we became a beta site for a Talyst AutoPharm software only solution. It’s not really a “software only” solution as it consists of a POS-X PC117 workstation, a Code CR3 scanner and a Zebra ZM400 printer, and of course Talyst’s AutoPharm software, but there are no carousels attached to it.

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Carousel technology article in AJHP

AJHP: “Implementation and evaluation of carousel dispensing technology in a university medical center pharmacy (Am J Health Syst Pharm 2010 67: 821-829)

Results. The estimated labor savings comparing the preimplementation and postimplementation time studies for automated dispensing cabinet (ADC) refills, first-dose requests, supplemental cart fill, and medication procurement totaled 2.6 full-time equivalents (FTEs). After departmental reorganization, a net reduction of 2.0 technician FTEs was achieved. The average turnaround time for stat medication requests using CDT was 7.19 minutes, and the percentage of doses filled in less than 20 minutes was 95.1%. After implementing CDT, the average accuracy rate for all dispense requests increased from 99.02% to 99.48%. The inventory carrying cost was reduced by $25,059.

Conclusion. CDT improved the overall efficiency and accuracy of medication dispensing in a university medical center pharmacy. Workflow efficiencies achieved in ADC refill, first-dose dispensing, supplemental cart fill, and the medication procurement process allowed the department to reduce the amount of technician labor required to support the medication distribution process, as well as reallocate technician labor to other areas in need. ”

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