Jerry Fahrni

Pharmacy Informatics and Technology

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Tag Archives: Barcoding

“What’d I miss?” – Week of June 13, 2010

Posted on June 18, 2010 by Jerry Fahrni
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As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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Categories: What'd I miss | Tags: Barcoding, BCMA, box office, Cloud Computing, Healthcare, HealthVault, Microsoft, Tablet PCs

Update from day two at the unSUMMIT

Posted on May 6, 2010 by Jerry Fahrni
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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
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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

Cool Technology for Pharmacy – CHS 7X

Posted on April 29, 2010 by Jerry Fahrni
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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

Cool Technology for Pharmacy

Posted on March 4, 2010 by Jerry Fahrni
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In a previous post I mused about using an automated packaging system like InSite from Talyst as a type of automated dispensing cabinet for acute care patients. InSite was designed for long-term care and would simply be too large for the needs of an acute care nursing unit, but the technology is ideal.

However, the ATP-71 (PDF) from Swisslog is a bulk packager that can hold up to 71 canisters in a relatively small footprint: 31.5 inches wide x 29.6 inches deep x 30.6 inches high. For comparison, a Pyxis MedStation 4000 2-drawer main unit is 22.8 inches wide x 26.7 inches deep x 27.7 inches high. I would say that makes the two units comparable in terms of size, and I can tell you from personal experience that a 2-drawer main isn’t very big up close.
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Categories: Automation, Barcoding | Tags: ADC, Barcoding, Pharmacy Automation

Quick hit – Barcode scanner consistency

Posted on February 10, 2010 by Jerry Fahrni
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Part of the process of implementing barcode medication administration (BCMA) is evaluating hardware; mostly scanners. There are several makers of barcode scanners including Honeywell, Symbol, Metrologic, Datalogic and Code Corp. Having so many choices always makes the selection process interesting.

One suggestion from several hospitals I spoke with that were already live with BCMA, was to use the same barcode scanner on the nursing floors that were used in the pharmacy. That sounds logical, right? Sure, if the barcode scans correctly in the pharmacy, then nursing should be able to scan the same barcode using the same scanner.

The scanner of choice in our pharmacy department is the the Code Reader 3500 from Code Corp. So of course this is the scanner I recommended in my report to the BCMA hardware sub-committee. For whatever reason, the committee decided to go with a different brand of scanner. Unfortunately the scanners we purchased won’t scan some of the more complex barcodes coming out of pharmacy, making them virtually useless. The scanners purchased by the hospital are on their way back to the wholesaler as I patiently await for round two.

Take away lesson: use the same barcode scanner for the nursing units that the pharmacy department uses to meet their barcoding needs.

Categories: Barcoding | Tags: Barcode Scanners, Barcoding

Barcode scanner dilemma

Posted on December 15, 2009 by Jerry Fahrni
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barcode_scanAs barcoding in pharmacies grows in popularity I get exposed to more and more barcoding equipment; particularly barcode scanners. Our carousels utilize barcode scanners from Code Corp, our AutoPack system utilizes a barcode scanner from Honeywell – previously Handheld – and our barcode medication administration system will use a yet-to-be-determined scanner. In addition, I’ve accumulated a nice collection of various scanners in my office including wireless, Bluetooth and tethered.
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Categories: Barcoding | Tags: Barcode Reader, Barcode Scanners, Barcoding

Using technology to advance pharmacy practice through education

Posted on October 13, 2009 by Jerry Fahrni
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funny_tech_cartoonI found an interesting article in the October issue of the American Journal of Health-System Pharmacy. The article, titled Informatics in clinical instruction (Am J Health Syst Pharm. 2009 Oct 1;66(19):1694, 1699), gives a description of a software system designed by the authors that “allows students at one site to receive online and teleconference instruction from preceptors at multiple sites through remote, interactive discussion. It also allows “blogging” based on assigned videotapes, simulation modules, live patient cases, discussion questions, and primary literature review. In addition, the system facilitates clinical encounter documentation, including interviewing patients, taking physical assessments (e.g., blood pressure), taking medication histories, assessing for adverse effects (e.g., abnormal involuntary movements), and addressing potential or actual medication-related problems(MRPs).”
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Categories: Pharmacy Informatics | Tags: Barcode, Barcoding, Pharmacy Automation, Pharmacy Future, Pharmacy School, Pharmacy Technology, RFID

Thoughts on creating a BCMA cross reference file

Posted on October 6, 2009 by Jerry Fahrni
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zebra_barcode2Our facility is gearing up to implement bar code medication administration (BCMA) in February 2010. Part of getting ready is making sure that all the medications dispensed from the pharmacy are bar code ready. If the medication isn’t bar coded or won’t scan, then it won’t do the nurse much good at the bedside. We’re in pretty good shape secondary to our carousel install in February of 2008. Everything that gets stored in the carousel is already bar coded. I had hoped that the file stored in our AutoPharm, i.e. carousel, cross reference file could simply be dropped into our Siemens Pharmacy cross reference file, but that would have been too easy. Siemens refused to play nicely with the data.
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Categories: Barcoding | Tags: Barcodes, Barcoding, BCMA, MAK

Cool Technology for Pharmacy

Posted on September 17, 2009 by Jerry Fahrni
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It’s not uncommon for our pharmacy to unit-dose liquid medications from a bulk bottle; 5mL Donnatal oral syringes, 20mL SMX/TMP and 15mL chlorhexidine unit-dosed cups, etc. Pulling up oral syringes and filling unit-dose medication cups is a manual and time consuming process.
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Categories: Cool Technology | Tags: Barcoding, Cool Stuff, Medication Safety, Patient Safety
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