Jerry Fahrni

Pharmacy Informatics and Technology

  • Home
  • About
RSS
Author Archives: Jerry Fahrni

Article: A pharmacist-led information technology intervention for medication errors (PINCER)

Posted on April 22, 2012 by Jerry Fahrni
No Comments

From a recent article in The Lancet (The Lancet, Volume 379, Issue 9823, Pages 1310 – 1319, 7 April 2012)

Kind of man versus machine study. Actually, it was more like man plus machine versus machine alone.

“The control group practices therefore used simple feedback; after collection of data at baseline, control practices received computerised feedback for patients identified as at risk from potentially hazardous prescripting and inadequate blood-test monitoring of medicines plus brief written educational materials explaining the importance of each type of error. Practices were asked to introduce changes they considered necessary within 12 weeks after the collection of data at baseline. Intervention practices received simple feedback plus a pharmacist-led information technology complex intervention (PINCER) lasting 12 weeks.”
Read more …

Categories: Pharmacy Practice | Tags: Pharmacy Practice, PPMI

People are irrational

Posted on April 21, 2012 by Jerry Fahrni
No Comments

Two disclaimers:

  1. To be absolutely clear, this is a rant. Sometimes I rant to my wife, other times on paper. This time I felt compelled to throw it up here.
  2. I’m a tablet PC fan, and this is my opinion. If you have an alternate opinion, that’s cool. If you want to talk about tablets with me, by all means let’s talk. I love it when people show me cool things they’ve done with their tablets. But if you want to argue with me about my opinion, fell free to stay away. People that want to counter my opinion with useless drivel tend to do nothing more than make me think less of them than I already do. And trust me when I say that I have a pretty low opinion of most people to start with. Not all people mind you, but many. It’s unfortunate I know, but society in general has done little to change my mind.

Ok, let’s begin ….
Read more …

Categories: Tablet PCs | Tags: Random thought, Tablet PCs

Article: The costs of adverse drug events in community hospitals

Posted on April 21, 2012 by Jerry Fahrni
No Comments

The article below appeared in the March 2012 edition of Joint Commission Journal on Quality and Patient Safety - yes, that’s a real journal. I couldn’t make this stuff up – Anyway, there’s nothing new here, we all know that ADEs are expensive. How expensive? Well, the bottom line is that ”ADEs were associated with an increased adjusted cost of $3,420 and an adjusted increase in length of stay (LOS) of 3.15 days”. Depending on the number of ADEs your facility has you could easily use these numbers to justify the services of a pharmacist.

The only problem with the information is that it’s from a 20-month period between January 2005 and August 2006. I hate to break it to you Joint Commission Journal on Quality and Patient Aafety, but that makes the information all but useless. Interesting, but useless.

Categories: Medication Safety | Tags: ADE, Medication Errors, Medication Safety, Patient Safety

Quick Hit: Update on keeping up with medical literature with MedInfoNow

Posted on April 20, 2012 by Jerry Fahrni
1 Comment

Wow, it’s hard to believe that it’s been over four months since I posted this piece on using MedInfoNow. The post caught the attention of someone at MedInfoNow, which resulted in some interesting dialogue in the form of email exchange and a couple of phone calls. I found the company to be genuinely interested in how their customers (clients?) use their product and what they can do to improve the experience.
Read more …

Categories: Pharmacy Informatics | Tags: Drug information

Ambiguous and Dangerous Abbreviations article results in interesting comment

Posted on April 12, 2012 by Jerry Fahrni
1 Comment

There’s a little blurb in the March 2012 issue of Pharmacy Times about the dangers of using inappropriate abbreviations in prescriptions. The author gives a couple of good examples where the use of abbreviations resulted in errors. I’ve seen my fair share of crappy handwriting and liberal use of abbreviations during my career, and I almost always read articles that talk about the problem. I find them interesting.

Anyway, there’s nothing particularly interesting about this article, but Mitch Fields, RPh left the following comment:

Well, yet another article re: dangerous and ambiguous “pharmacy” abbreviations in a pharmacy journal. I’ve seen dozens such articles over the past 30+ years, and they all suffer from the same problem: they don’t belong in the journals of practitioners who READ prescriptions, they belong in the journals of the practitioners who WRITE prescriptions!

That is one of the most logical things I’ve ever read. Mitch makes a great point.

Categories: Medication Safety | Tags: Patient Safety

2012 ISMP Med Safety Self Assessment for Oncology now available

Posted on April 7, 2012 by Jerry Fahrni
No Comments

The Institute for Safe Medication Practices (ISMP), ISMP Canada and the International Society of Oncology Pharmacy Practitioners, have launched the 2012 ISMP International Medication Safety Self Assessment for Oncology. The tool is used to “identify a baseline of oncology-related medication practices and opportunities for improvement.” ISMP is asking that any practice setting that administers chemotherapy get an interdisciplinary team together to go through the assessment; hospitals, ambulatory cancer centers, physician office practices, and so on. Once the assessment is completed the information can be submitted anonymously online through June 29, 2012.

These self assessment tools are kind of cool. ISMP will aggregate the results and your facility can use the information as a measuring stick to compare your facility to others. The Oncology self assesssment tool can be accessed on the websites of all three organizations (www.ismp.org, www.ismpcanada.org, www.isopp.org).

ISMP has other self assessment tools as well. You can see them all here.

I went through the Automated Dispensing Cabinets and Bar Coding Assessments when I was still practicing as an Informatics Pharmacists. They’re quite helpful in jumpstarting the thought process.

Categories: Pharmacy Practice | Tags: ISMP, Pharmacy Practice

Results from ISMP’s survey on IV storage and beyond use dating show confusion, lack of standards

Posted on April 6, 2012 by Jerry Fahrni
No Comments

Beyond use dating (BUD) is a bit of a hassle in acute care practice. The reason is that regulatory bodies have muddied the water with information that isn’t always the most recent or evidence based. ISMP recently published information from a survey of 715 pharmacy professionals on drug storage, stability, and beyond use dating of injectable drugs, and the results are a bit disappointing. There’s clearly a lot of confusion out there, in addition to a plethora of different practice models.

For me the reference of choice for stability, storage and compatibility was always the Handbook on Injectable Drugs, now in its 16th Edition. This reference was affectionately known as “Trissel’s” because the author of the book Lawrence A. Trissel is a legend in the field of injectable drugs. After Trissel’s I’d do a literature search to see if I could find something that wasn’t in there; typically I couldn’t. And finally, if I couldn’t find it in Trissels’s or the literature, I’d look at the manufacturer’s information.
Read more …

Categories: Pharmacy Practice | Tags: Pharmacy Practice, Reference

ASHP Summer Meeting 2012 full of pharmacy informatics stuff

Posted on April 5, 2012 by Jerry Fahrni
No Comments

I attended the ASHP Summer Meeting last year in Denver, CO for the first time ever. The Summer Meeting was much smaller than the infamous Midyear Meeting, but I must say that there were some great informatics sessions. You can read about my experience last year here:

  • And so it begins, the ASHP Summer Meeting 2011 (#ashpsm)
  • The ASHP Summer Meeting 2011 continues … (#ashpsm)
  • Conclusion of the ASHP Summer Meeting 2011 (#ashpsm)

Well, it looks like the 2012 Summer Meeting is primed and ready to offer just as much interesting informatics stuff this year. The meeting takes place in Baltimore, Maryland June 9-13, 2012. Hope to see you there.
Read more …

Categories: Pharmacy Practice | Tags: ASHP Summer Meeting, Pharmacy Practice, PPMI

A couple of really nice webinars from Pharmacy OneSource coming up

Posted on April 4, 2012 by Jerry Fahrni
No Comments

I received an email today from Pharmacy OneSource outlining their upcoming webinars. Pharmacy OneSource has been offering great webinars for a while now, but these really piqued my interest.
Read more …

Categories: Pharmacy Practice | Tags: Medication Errors, Pharmacy Practice

Telerounding with an iPad at Henry Ford Hospital

Posted on April 2, 2012 by Jerry Fahrni
3 Comments

PRWeb:

The surgeon and his patient are actually 25 miles apart in two different hospitals, each armed with an iPad equipped with the live video chat software FaceTime.

Through face-to-face video calls on iPads and other tablets, Henry Ford is initiating the next wave of high-tech communication at hospitals called “telerounding.”

“Patients are looking for us to use current technology in a way that improves their care, and ‘telerounding’ with the iPad really fits that need in enhancing the communication and care following surgery.”

The iPad fills a critical need for Henry Ford surgeons like Dr. Rogers – who perform operations each week at both Henry Ford Hospital in Detroit and Henry Ford West Bloomfield Hospital – to communicate with their patients in the clinic or inpatient setting, even when they’re not in the same city.

Previously, the surgeon would call the patient on the phone if he wasn’t on site. By replacing a phone call with a video-chat on the iPad, patients are able to have a personal and confidential conversation with their surgeon.

I love this concept. I talked to a pharmacy director at the end of last year that was doing something similar with the iPad for patient medication consultation at the time of discharge. Discharge medications were filled by the pharmacy and delivered to the patient’s bedside by a pharmacy technician toting an iPad. If the patient desired consultation with a pharmacist the technician fired up FaceTime. Cool use of technology.

Categories: Mobile Computing | Tags: Cool Stuff, Mobile Healthcare, Telemedicine
Previous Entries
Next Entries
  • Tweet
  • Recent Posts

    • Evernote update for Android is awesome
    • Ideas, Vision, Innovation: Fantasy vs. Reality
    • News flash, not all docs happy with iPad in the hospital setting
    • Pharmacy student adherence to a simulated medication regimen
    • Thinking about pharmacy refrigerators
    • Android App: Tarascon Prescriber’s Essentials
    • Lexi-Drugs to include CHEST guideline and Beers Criteria
    • Medication reconciliation on an internal medicine unit in French hospital [Article]
    • Foiled again!
    • Pharmacy technician program standards draft from ASHP now available for comment
  • Blogroll

    • Apple Core Labs
    • Archetypical
    • Florence dot com
    • Health Care Product Management
    • Infusion Nurse Blog
    • Pharmacy Technology Resources
    • Rob Fahrni
    • RxINFORMATICA
    • RxInformatics
    • The Cynical Pharmacist
    • The Medicine Guy
    • The Student Pharmacist
    • Unnatural Language Processing
  • Categories

    • Automation (42)
    • Barcoding (61)
    • Cloud Computing (25)
    • Cool Technology (105)
    • CPOE (3)
    • Database (8)
    • EMR (31)
    • Hardware (5)
    • iPhone (17)
    • Medication Safety (80)
    • Mobile Computing (100)
    • None of the above (2)
    • Pharmacy Informatics (107)
    • Pharmacy Practice (22)
    • RFID (7)
    • Siemens (13)
    • Tablet PCs (50)
    • Technology (62)
    • Therapeutics (28)
    • Top Posts/Searches (28)
    • Uncategorized (85)
    • Web 2.0 (14)
    • What'd I miss (62)
© Jerry Fahrni. Proudly Powered by WordPress | Nest Theme by YChong