I think it’s time for a new mobile connectivity model

I fought this one for a while, but I think I’ve experienced the need enough lately to change my tune. It’s becoming increasingly common for new devices – tablets, netbooks, laptops, etc – to be offered with cellular antennas build in. These can be activated through various carriers to provide continuous connection to the world … Read more

Do larger hospitals have an edge? Maybe

I’ve worked in several hospitals over the course of my career, ranging in size from 25 acute care beds to nearly 600 (584 beds to be exact). While 600 beds isn’t a large hospital, it certainly isn’t small. Regardless of the size of the hospital I’ve worked in, the operations inside the walls of the pharmacy are strikingly similar, including from the way pharmacists process orders to the way technicians handle distribution. There are differences to be sure, but the basics are the same. Differences to note include clinical services and use of automation and technology.

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The tail wagging the dog

WSJ: “The Food and Drug Administration said Tuesday that it will require some painkiller manufacturers to produce new educational tools in an effort to quell prescription-drug abuse. The requirements will affect makers of long-acting and extended-release opioids, which include oxycodone, morphine and methadone. Letters have been sent to manufacturers of the drugs describing the medication … Read more

Revisiting the idea of Shareable Ink

EMR and HIPAA: “The interesting thing about Shareable Ink is that they provide such an interesting middle ground between a technical solution and continuation of paper. I remember about 5 years ago when I heard someone describe the perfect clinical documentation system. It was completely flexible. Required little to no training. Supported every possible documentation style. etc etc etc. Then, they acknowledged that what was being described was the paper chart. It was then that I recognized that while EMR can provide some benefits that paper charts can’t provide, paper charts also had some advantages that would be difficult to provide using an EMR.

I think this background is why I found the Shareable Ink approach to documentation so fascinating. I really see it as an interesting way to try and capture the benefits of granular data elements and electronic capture of the data while still enjoying the benefits of paper.

My simplified explanation of the Shareable Ink technology is as follows. You print out a form that you want to use for the patient visit. Each page that’s printed out has a unique background (although it just looks like a colored page to the naked eye). When you use the Shareable Ink pen to write on the printed out page, the pen uses a camera to record what you wrote on that page and where you wrote it. Then, once you sync the pen it recreates the document you wrote on in the system.”

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Taking a look at the new Lenovo X220t Tablet PC

I purchased a Lenovo x201t Tablet PC back in November 2010. It’s been a great machine.

The new x220t is every bit as impressive as the x201t, but has a slightly larger 12.5-inch Gorilla Glass touchscreen. In addition it has a new ThinkPad battery pack that should provide the user some serious portability without the need to continuously be tethered to a plug. I get about 5-6 hours of continuous use  on a single charge with my x201t extended battery pack. I expect the new x220t will get at least that. Throw in the new batter slice and users could potentially get up to 16 hours on a single charge. You simply can’t ask for more than that.

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Cool Pharmacy Technology – Codonics SLS Safe Label System

Labeling syringes has always been difficult for anesthesiologists in the OR. It must be because they never seem to get it right. If you don’t believe me, just look at the image below. These drugs were found during routine inspection of an OR suite. Well that’s all changed now with the Codonics SLS Safe Label System.

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Coolest looking laptops on the market

I have a thing for laptops and tablets, no question about it. Doesn’t matter who the manufacturer is, as long as it looks cool I’m drawn to it. It’s a good thing I don’t have unlimited funds or I’d have stacks of machines all over the house. While I’m not prejudiced against any particular laptop maker I am drawn to a certain style. For example, I like smaller laptops with screens typically less than or equal to 14-inch, and the thinner the better.

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Cleanrooms – the forgotten realm of acute care pharmacy

Cleanroom environments, a.k.a. IV rooms, inside acute care pharmacies compound some of the most complex and dangerous medications used inside a hospital. Unfortunately this area is often overlooked when implementing safety features such as bar-code verification, identification of high-alert medications, advanced training and competency and so on. I was reminded of the dangers of intravenous products by a recent story coming out of Alabama where the death of 9 patients was linked to TPN (total parenteral nutrition) contaminated with Serratia marcenscens.

While IV rooms remain a high risk area they tend to fall off the radar of many hospital administrators when it comes to implementing technology capable of reducing risk. USP <797> tends to get all the glory even though much of the guidelines proposed in this USP chapter have yet to be shown any more effective than diligent hand washing and impeccable technique.

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