Jerry Fahrni

Pharmacy Informatics and Technology

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Category Archives: Barcoding

Automated unit-dose packagers for acute care pharmacy

Posted on August 22, 2010 by Jerry Fahrni
27 Comments

State of Pharmacy Automation. Pharm Purch Prod. 2010; 8

I was doing a little Sunday morning reading and came across an interesting set of slides at the Pharmacy Purchasing & Products (PPP) website  (registration required to access the slides). I haven’t spent much time reading PPP Magazine, but I should because they always seem to have something good about pharmacy automation and technology in just about every issue.

Anyway, I’ve been looking at various automated packaging machines lately and thought the information at the PPP website was rather timely. According to information found at the site “After a slight dip in the number of facilities packaging medications in bar coded unit dose in 2009, this process realized a significant rebound in 2010. Nearly three quarters of all facilities now have such an operation in place. Hospitals taking advantage of the increased data capacity offered by two-dimensional bar codes also bounced back this year. In conjunction with these improving adoption rates, pharmacy directors are also reporting rising satisfaction rates with their operations. Despite a staunch minority that sees no need for a unit dose packaging operation, the vast majority of those without such a system plan to implement one shortly.” The graph in this post is from the PPP slide deck and shows the percentage of facilities using bar-code unit dosed packaging for medications over the past several years. This comes as no surprise when you consider the relative inexpensive nature of this technology when compared to other pharmacy automation, the ease of which it can be implemented and the push for BPOC in healthcare. Call it a perfect storm.
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Categories: Automation, Barcoding | Tags: AutoPack, BCMA, BPOC, Pharmacy Automation

Quick Hit – A couple of interesting bar-coding tidbits

Posted on July 7, 2010 by Jerry Fahrni
1 Comment

There were a couple of things about bar-coding in the web-stream that caught my attention today.

The first item was a tweet from @hospitalrx mentioning an application at USA.gov for the iPhone and Android OS that can be used to identify product recalls. The application is appropriately called Recalls.gov.

Now, those recalls are right at your fingertips, thanks to the new RECALLS.GOV mobile application. Whether you’re at your child’s day care center or a yard sale, whether you’re at a store or at home, you can now type a product’s name into your phone and learn immediately whether that product has been recalled because of a safety concern. You can also see photos of recalled products and learn what to do with recalled products in your homes.

Even though the website is lacking detail, the application does offer the ability to scan the bar-code on a given item to determine its recall status, although I have not tested this functionality. Additional mobile applications from USA.gov can be found here.

And from Barcode.com: “Motorola has released a tiny new barcode scanner called the CS3000. The CS3000, shown below, is just about 3.5 inches long, 2 inches wide and less than an inch thick. It weighs only 2.45oz according the Motorola spec sheet. It is capable of scanning 1D barcodes and has a 24 hour battery life. The CS3000 has a USB connector and also Bluetooth. It’s 512MB of flash memory can hold roughly a million bar codes.“

These things are neat. You can download the spec sheet for the Motorola CS3000 scanner here (PDF).

Categories: Barcoding | Tags: Barcode Scanners, BCMA, BPOC

An almost disastrous bar-coding mishap

Posted on June 23, 2010 by Jerry Fahrni
9 Comments

At some point in the past few days it was decided that our technicians should re-label all injectable controlled substances with one of our “after market” flag labels. I’m not sure when or how the decision was made, but it was. When questioned about it, the rationale behind the decision was that the nurses were wasting unused medication at the ADCs and not taking the vial to the bedside. And apparently the solution was to use our flag labels because they offer a peel away section that can be taken to the bedside with the drug in a syringe for scanning and administration purposes.
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Categories: Barcoding | Tags: BCMA, BPOC, Medication Errors, Medication Safety, Patient Safety

Cool Technology for Pharmacy – RxVerify

Posted on June 17, 2010 by Jerry Fahrni
2 Comments

While reading through a pharmacy listserv I came across a seemingly simple piece of software that fills an important gap in the pharmacy distribution process. RxVerify, by Pharmacy Ideas, is a bar-code verification system used during the medication restocking phase for code boxes, anesthesia trays, transport boxes, etc.
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Categories: Barcoding, Cool Technology, Medication Safety | Tags: BCMA, BPOC, Medication Safety, Patient Safety

Bar-code musings

Posted on June 16, 2010 by Jerry Fahrni
2 Comments

Bar-code verbiage
Last week I posted some examples of difficult bar-codes. The post was well received and generated a fair number of comments; for me anyway. One of the commenters, John Nachtrieb of Fotel, had this to say: “Jerry: Another comment–The ASHP Statement on Barcode Verification (If I’m reading it accurately) speaks about using a barcode to verify that the medication is correct, which is a different usage of the term “verify” than I think you are using. Barcode pro’s use “verify” the same way you do–making sure the symbol is “legible” to the scanner. Then there is the issue of “validation” which, in the parlance of barcode professionals, refers to making sure the barcode correctly identifies the product it’s on.”
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Categories: Barcoding | Tags: BCMA, BPOC

OTC drug interaction analyzer for smartphones

Posted on June 14, 2010 by Jerry Fahrni
4 Comments

Medilyzer is a smartphone application designed to provide mobile information and drug interaction checking for various over-the-counter (OTC) medications. The application is available for both the iPhone and Android smartphones, and according to the Medilyzer website a BlackBerry edition is on its way.
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Categories: Barcoding, Medication Safety | Tags: Android, BCMA, BPOC, Droid, iPhone, Medication Safety, Smartphone

A recent trifecta for bar-coding

Posted on June 9, 2010 by Jerry Fahrni
1 Comment

Bar-code medication administration has been around for a while, but hasn’t gained the same notoriety as other forms of healthcare technology like computerized provider order entry (CPOE) and clinical decision support (CDS). However, it looks like the tide is starting to change as we’re currently in a unique position to see bar-coding from several different angles.
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Categories: Barcoding | Tags: BCMA, BPOC, Medication Safety, Patient Safety

Scanning difficulties with certain barcodes

Posted on June 8, 2010 by Jerry Fahrni
10 Comments

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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Categories: Barcoding | Tags: Bad, BCMA, BPOC

Participating in the ASHP Summer Meeting from afar #ashpsm10

Posted on June 5, 2010 by Jerry Fahrni
2 Comments

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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Categories: Automation, Barcoding | Tags: ASHP, ASHP Summer Meeting, AutoPharm, BCMA, BPOC, Talyst

Update on AutoPharm software only pilot

Posted on June 2, 2010 by Jerry Fahrni
2 Comments

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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Categories: Automation, Barcoding | Tags: AutoPharm, BCMA, Pharmacy Automation, Talyst
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