If you float something out over the internet, someone is going to see it and keep you honest. Remember what I said, “There is always someone smarter, harder working, more motivated and better informed than me, and those are the people I want to hear from.” Well, those people have responded with some great information pertaining to barcoding and pharmacy automation.Â
Barcoding
Taking advantage of your carousel space.
I have posted many times on our system for barcoding medications in the pharmacy. The posts have included reference to our efforts to increase storage space.  Our goals have always been to store as many medications as possible within the carousel to take advantage of the software’s many safety features and inventory functionality. Like all … Read more
Cool Technology for Pharmacy
Pyxis PARx: “The Pyxis PARx® system automates the pick-check-delivery process to provide increased security during medication replenishment throughout the hospital. The system utilizes bar code scanning technology for real-time tracking and monitoring of medication handling, pharmacist review and delivery of medications. By providing a complete chain-of-custody on medications during distribution to the nursing unit and helping to ensure the right medication is getting to the right station and the right pocket in the station, the Pyxis PARx® system is a valuable technology that provides improved patient safety and supports compliance with Joint Commission requirements.“
Problems with barcodes.
ISMP Medication Safety Alert! May 21, 2009 Vol. 14, Issue 10: “Please let us know if you identify problems with  a company’s unit dose package barcode. An example of an ARICEPT (donepezil) unit-dose package with a barcode  problem appears in Figure 1 (shown in the PDF version of the newsletter). Note that the labeling material has been applied to the … Read more
Barcode symbologies….what’s in your pharmacy.
I had a brief exchange with a colleague a few days back and the subject of where manufacturers were headed with barcoding came up. It’s an interesting discussion. As mentioned in a previous post the number of available barcode ready, unit-dosed medications has been slowly shrinking. As manufacturers work with government agencies and pharmacy organizations to come up with a standardized barcode format, it appears that they have put their unit-dosed, barcode ready medications on the back burner.
Manufacturers have a lot of barcode options to choose from, which may be contributing to the difficulty in developing a standard. However, it is important for the pharmaceutical industry to realize that the need for a barcode standard is ultimately driven by a goal for patient safety.
Even the best things can be improved.
I had the opportunity to speak with a nice young lady from Talyst this morning about extending our barcoding system to our pharmacy satellites. She had great insight into what we wanted to do and offered some very helpful tips. The conversation took an interesting turn when she asked me how I liked the system and where I thought improvements could be made. After the initial shock of a vendor asking me my opinion, we spent a few minutes discussing the system and how our workflow has changed for the better.
Overall, we have been very pleased with our barcoding system. I wish all platforms ran as smoothly as our Talyst products. However, there is always room for improvement. I understand that Talyst is currently working on a “big” new release of their AutoPharm software that is focused on patient safety. I don’t have specifics, but it is possible that some of the items listed here are already in the works.
Extending the reach of AutoPharm/AutoCarousel with “the wall”
In March of 2008 our hospital implemented a system to meet a district wide initiative for 100% barcoded medications in the pharmacy. The barcoding project for the pharmacy was immense, involving a pharmacy remodel, hundreds of thousands of dollars and hundreds (if not thousands) of man hours.
The project included the implementation of an automated bulk packager capable of creating unit-dosed, barcode ready medications (AutoPack), a barcode labeling system (AutoLabel) and an automated medication storage and retrieval system (AutoCarousel with AutoPharm software). All products were purchased from Talyst, who is headquartered in Bellevue, WA.
Cool Pharmacy Technology
Thin clients are computers that depend on a centralized server for processing power. They are simple devices that typically contain only the most basic hardware, and frequently do not contain a hard drive. Thin clients essentially serve as the interface to the server. Thin clients are mostly inexpensive compared to traditional desktop PCs, and offer … Read more
Fewer unit-dosed, barcode ready drugs from the manufacturer?
I’ve noticed a trend over the past few months. Several medications that we typically purchase are no longer available in unit-dosed, barcode ready packaging. The result has been the purchase of more and more medications in bulk, which require repackaging and barcoding prior to dispensing. The reason for the trend is unclear, but appears to be a difference in opinion on what information should be contained in the barcode and what barcode standard to use. Even with organizations like ASHP encouraging manufacturers to develop standards and the FDA requiring barcodes on prescription medications, there appears to be a gap.