Update ASHP #Midyear2009

Today was a good day for informatics at ASHP Midyear. Pharmacy 2.0: How the Web is Changing How We Practice This was a great session moderated by John Poikonen (@poikonen), PharmD or RxInformatics.com. John defined Pharmacy 2.0 as the combination of ASHP’s practice model, participatory medicine, health reform, and self-reform, i.e. changing the way you … Read more

Cool Technology for Pharmacy

Entering and making pediatric drips for pharmacists working in an adult hospital can be a real sphincter tightener. Pharmacists that aren’t accustomed to working with pediatric patients feel a little bit uneasy when an order shows up for a customized dopamine, dobutamine, etc. I remember working in a pediatric facility where we did this kind of thing all the time and no one gave it a second thought. We used a combination of two standardized concentrations, hi and low, for each commonly ordered drip. For code blue situations we often used the “Rule of 6’s”, which is now discouraged by the Joint Commission.

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Use of pharmacy informatics resources in hospital pharmacies

ajhpI read an interesting article today in the November 1, 2009 issue of the American Journal of Health-System Pharmacy (AJHP). In the article the authors report the results of survey sent to 200 hospitals in the US developed to assess the use of various informatics resources by pharmacy departments. The survey consisted of two-sections with a total of 20 questions. Only hospitals with at least 100 beds were included, and of the 200 surveys mailed only 114 were returned More information on the specifics of the survey can be found at the AJHP website here.

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Thinking about Clinical Decision Support (CDS)

I attended at webinar today on “Achieving Meaningful Use – The Importance of Clinical Decision Support”. Overall the information was pretty good. It wasn’t exactly new information, but it never hurts to hear something again. The webinar got me thinking about Clinical Decision Support (CDS).

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Getting pharmacists to lay down their 3×5 cards

The decentralized pharmacy model brings with it the opportunity for pharmacists to be an integral part of the medical team. This includes following teams of healthcare provides, physicians, nurses, respiratory therapists, etc, on morning rounds. And like all good little pharmacists we like to be prepared with as much information as possible about the patient. Several methods for collecting data have been developed over the years, including the all time favorite; the 3×5 index card. The problem with this system is obvious; it’s prone to human error. Taking information from one source and transcribing it somewhere else simply increases the chance for error. In addition, the information may be inaccurate as things can change rapidly with hospitalized patients, especially in areas like the ICU.

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