Jerry Fahrni

Pharmacy Informatics and Technology

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Category Archives: Barcoding

Carousel technology article in AJHP

Posted on June 1, 2010 by Jerry Fahrni
2 Comments

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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Categories: Automation, Barcoding | Tags: AutoCarousel, BCMA, BPOC, Carousel, Pharmacy Automation

Cool Technology for Pharmacy – LXE Bluetooth Ring Scanner

Posted on May 27, 2010 by Jerry Fahrni
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A recent conversation with Carla Corkern, CEO of Talyst, resulted in this week’s Cool Technology for Pharmacy.

The LXE 8650 Bluetooth Ring Scanner is a pretty neat, albeit homely, piece of hardware. The device is designed with wearability in mind to provide the end-user with hands-free operation.

The LXE 8650 consists of a ring scanner and a Bluetooth module. The Bluetooth module is attached to the wrist via a velcro strap and the ring scanner fits on the finger and is operated by a thumb trigger. The system is lightweight coming in at only 4.8 ounces (136 grams), and that includes the ring scanner, Bluetooth module, battery and wrist strap. The scanner is designed with a magnesium alloy housing so it can take a beating, something that is a necessity in the pharmacy. In addition to the magnesium housing the system is sealed to IP54 standards1 and can withstand multiple drops from up to 4 feet to concrete. Battery life appears to be pretty good and can deliver up to 17,000 scans on a single charge. I don’t know about your pharmacy, but that equates to more than 24 hours of continuous use before a charge is necessary.
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Categories: Barcoding, Cool Technology | Tags: Barcode Scanners, BCMA, BPOC, Cool Stuff

Combination RFID – Bar code reader from Motorola

Posted on May 23, 2010 by Jerry Fahrni
1 Comment

Looks like Motorola is upping the ante a bit in the portable scanner game. They recently introduced a combination bar code scanner and RFID reader for use at the point of care. It’s not pretty, and the name could use a little marketing help, but it offers some interesting functionality. A combination scanning devices like this could be just what the healthcare industry needs as we continue to move forward with BPOC / BCMA and start investigating the expanded role of RFID tags in patient safety.
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Categories: Barcoding | Tags: Barcode Scanners, BCMA, BPOC, RFID

Cool Technology for Pharmacy – QR Codes

Posted on May 20, 2010 by Jerry Fahrni
5 Comments

Last night I was reading through some tweets and ran across this one from @ahier. Of course this led me to the referenced article on Microsoft Tags. It was a very interesting article, but for reasons I can’t explain I started thinking about a conversation I had with some people at the unSUMMIT regarding the use of QR Codes. And like all people with a short attention span I fired up Google and started searching for information on QR Codes. Fascinating stuff.
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Categories: Barcoding, Cool Technology | Tags: BCMA, BPOC, Cool Stuff

Hey, anyone seen a unit-dose around here?

Posted on May 17, 2010 by Jerry Fahrni
12 Comments

When you ask a pharmacist what a unit-dose is you may get a funny look. Actually, you will get a funny look. I know because I asked one of the pharmacists I work with that very question today and she gave me a look that could only be described as a cross between concern and pity. She thought the answer to my question was obvious and who could blame her.
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Categories: Barcoding | Tags: BCMA, BPOC

Interesting similarity, don’t you think?

Posted on May 10, 2010 by Jerry Fahrni
2 Comments

I finally got around to digging into the article on bar code medication administration (BCMA) in the most recent issue of the NEJM. It’s and interesting article that has already receiving a lot of press. It will probably be tossed around for months.

One thing I found amusing in the article was figure 1 on page 1706 (bottom image). I’ve had a similar visual on one of my office whiteboards (top image) for nearly a year. I like being on the same page with intelligent people.

Categories: Barcoding, Medication Safety | Tags: BCMA, BPOC, Patient Safety

Update from day two at the unSUMMIT

Posted on May 6, 2010 by Jerry Fahrni
3 Comments

Today was the first full day of unSUMMIT activity and I found myself picking up quite a bit of useful information. I didn’t attend every session, but managed to make the most of the ones I did. Even though the conference is billed as bedside barcoding I found that many of the presentations went beyond barcoding to include clinical decision support, techniques for education, troubleshooting tips and tips on how to best create a multi-disciplinary team for project planning and implementation. 
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Categories: Barcoding | Tags: Barcoding

Headed for the unSUMMIT (#unSUM10)

Posted on May 4, 2010 by Jerry Fahrni
1 Comment

I’m sitting in the airport waiting to board my flight for Atlanta to attend the unSUMMIT. This will be my first time attending the unSUMMIT and I’m getting pretty excited about it; like I get before every conference I attend.

The unSUMMIT is billed as a place to get information on barcode point-of-care technology (BPOC), also known as barcode medication administration (BCMA). The promotional material for the unSUMMIT states that “attendees are outfitted with practical tools, insight, and inspiration for leading their institutions to carefully select, implement, and harness the quality-improvement power of BPOC systems.”. I could benefit from that.

Our facility uses barcoding technology in the pharmacy and recently went live on the floor with BCMA. Some of my thoughts on the implementation can be found here. However, the work doesn’t stop after implementation; in fact the workload has increased since going live.

Barcoding technology has been around for a couple of decades, but its use in healthcare is still in its infancy. The scope of barcoding goes beyond patient safety, which has been called into question by some, to encompass inventory tracking and management, medication usage and real-time medication administration data for pharmacists. It’s hard to say whether the technology will ever be the magic bullet everyone wants it to be, but it deserves the same attention we give all technologies that have potential to impact patient care, positively or negatively.

I’m looking forward to hearing the closing keynote by Barbara Olson; Twitterer (@SafetyNurse) , blogger and director of patient safety at HCA. Some other items of interest include the following sessions:

- “Alert, Alert, Alert! Effective Layering of Clinical Decision Support Tools of a Hospital’s Medication Delivery System”

- “Alternatives to Barcodes in Medication Administration – RFID and RTLS”

- “Optimizing Patient Safety Utilizing BPOC Metrics”

- “Intravenous Interoperability: Combining Intelligent Infusion, BPOC, and eMAR”

- “Observation-Based Medication-Error Detection”

- “It’s Not “Sophie’s Choice”: Creating and Sustaining Work Processes That Enhance Medication Safety at the Point of Care.”

The entire list of  unSUMMIT conference sessions can be found here.

To keep everyone up to date on what’s going on I will be using the 140 character gorilla of social media, i.e. Twitter, while at the unSUMMIT along with Susan Carr and Barbara Olson. I’ll be there all week so feel free to follow the action using #unSUM10. Should be a real hoot.

Categories: Barcoding | Tags: Barcoding, Pharmacy Technology

Today’s presentation on pharmacy automation

Posted on April 30, 2010 by Jerry Fahrni
10 Comments

The health care system I work for, Kaweah Delta Health Care District, uses quite a bit of automated technology from Talyst in our inpatient pharmacy. Well, today I spent the day in Bellevue, WA with the good folks from Talyst talking about all kinds of pharmacy automation and technology.

The day started with me giving a brief presentation at their quarterly meeting about Kaweah Delta’s experience installing Talyst equipment, and ended with a tour of their warehouse facility in Preston that included a peak at their process for managing and testing canisters for their AutoPack Oral Solid Packaging System; very interesting stuff.

Talyst was a wonderful host and I had a great time visiting their facilities and speaking with a bunch of very intelligent and interesting people. I learned a lot and had fun at the same time. You can’t ask for more than that.

View more presentations from Jerry Fahrni.
Categories: Automation, Barcoding | Tags: Pharmacy Automation, Talyst

Cool Technology for Pharmacy – CHS 7X

Posted on April 29, 2010 by Jerry Fahrni
1 Comment

Bar-Code Point-Of-Care (BPOC), also known as Bar-Code Medication Administration (BCMA) has been a hot topic in health care for a while now. Some people love it while others hate it. Regardless of how you feel about bar-coding it is here to stay for a while and the technology, both hardware and software, is pretty cool.
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Categories: Barcoding, Cool Technology | Tags: Barcode Scanners, Barcoding, BCMA, Cool Stuff
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