Medication Safety

Epic will eventually control IV workflow management

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Pulling another article from the notebook archive, penned March 20, 2020. I have seen the future of IV workflow management systems (IVWFMS). Spoiler alert, EPIC wins. And before people start calling me an Epic fanboy, I should make it clear that I do not like Epic, as a company or a product. I believe healthcare … Read more

IV workflow management systems and workarounds

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A large portion of the most recent issue of the ISMP Medication Safety Alert is dedicated to IV workflow management systems (IVWFM) and errors caused by workarounds. There are a few head-scratchers in the list to be sure. There are even some that had me speculating their authenticity, i.e. too wacky to believe. “Data submitted … Read more

Nonadherence to diabetes medications costly

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This is follow-up commentary to an article I Tweeted about earlier this week. JCP: “[Express Scripts] found that patients who were adherent to oral diabetes drugs had 235 fewer emergency department visits and 50 fewer inpatient hospitalizations per 1000 patients, resulting in an average of $500 saved per patients and a total decrease of $210 … Read more

Does tall man lettering work?

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First of all, is it tall man, tall-man, or tallman? And why is it called “tall man lettering” when none of the letters are actually taller than the others? Heck if I know. Just more questions in a mountain of questions piling up around tallMAN lettering. Pharmacy Practice News: “[The study] found that there hasn’t been a substantial … Read more

Microneedle patch for monitoring drug levels

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Medgadget: “A collaboration between researchers at the University of British Columbia and Paul Scherrer Institut in Switzerland has developed a microneedle device for drug monitoring. The device is in a form of a patch that’s stuck onto the skin, painlessly pushing microneedles through to sample the interstitial fluid…The proof-of-concept device reported by the team was … Read more

Cool technology for pharmacy – ProteXsure Safety Capsule System

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Needle sticks happen. I’ve actually stuck myself a few times during my career while compounding in the IV room. Fortunately for me, it never involved anything hazardous. Still, it was a pain. No pun intended. Over the years a lot of attention has been given to methods for preventing needle sticks in healthcare, ranging from things … Read more

Witnessing errors in the iv room

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I spent a short time observing iv preparation in two separate, distinctly different pharmacy environments in the weeks leading up to the new year. One was a traditional iv room in a large acute care pharmacy with multiple pharmacy technicians and pharmacists putting out hundreds of compounded sterile preparations (CSPs) per day. The second was … Read more

Initial reaction to FDA stance on syringes as standalone storage container

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This morning I woke to the news that No Syringe Is Approved as a Standalone Storage Container, FDA Says. This I’m sure is in response to the recent issue with BD syringes and drug stability. I need to think about this more, but my gut reaction is that this is huge and will have a … Read more

Pros and cons of IV workflow management systems

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Pondering the need for an IV workflow management system (IVWMS)? You’re not alone if you are. According the most recent PP&P State of Pharmacy Automation Survey, 15% of facilities have already implemented something and another 29% plan to do so in the next few years. The only surprise is the relatively low percentage of facilities planning on implementation in the near future.

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