Cool pharmacy technology – SMART-IV

Not exactly pharmacy technology. However, SMART-IV involves integration of iv infusions with bar code scanning at the patient bedside. That’s kind of pharmacy related, in a sort of roundabout way.

Check the video below for a look at how the system works. The commentary is in Dutch, so if you don’t speak Dutch you might be in trouble. Regardless, you’ll get the basic idea anyway.

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Smart Pump integration with EHR and auto-programming [Video]

The integration of smart pumps with an EHRs, and the use of auto-programming isn’t common place in healthcare, but it should be. I’ve only come across a couple of facilities that have done it “successfully”. In addition I’ve heard a couple of presentations on the subject matter; one at ASHP a couple of years ago and one at the unSUMMIT last year.

The video below talks about the integration of smart pumps with Cerner at WellSpan Health in New Jersey. Interesting stuff.

Slow progress in pharmacy automation and stale technology creates ho-hum interest

Recently I’ve been in bit of a blogging slump. The world of technology suddenly appears a little less exciting. In fact, I find myself thinking of current technology as boring. I read lots of blog posts and articles that refer to new technologies as “revolutionary”, but I haven’t seen much revolutionary technology lately. In fact, most of the new technology is simply an iteration of the same theme; or worse, recycling of an old theme.

Consumer technology is clearly ahead of healthcare with the exception of scanning devices like MRIs, which are pretty cool when you stop to think about what they do. However, some of the most recently vaunted consumer technologies are devices aimed at information consumption like the iPad or devices designed to access data and social media while on the go, i.e. the new crop of smartphones. It’s not really new technology per se, but rather a new application of already available technology.
Continue reading Slow progress in pharmacy automation and stale technology creates ho-hum interest

Top blog posts and searches from last week (27)

I always find it interesting to see what brings people to my website and what they decided to read once they get here.

Most read posts over the past 7 days:

  1. An almost disastrous bar-coding mishap
  2. Cool Technology for Pharmacy – Post from before I started putting the name of the cool technology in the blog title. This particular post was from September 10, 2009 and covered the capsule machine.
  3. Cool Technology for Pharmacy – Another post from before I started putting the name of the cool technology in the blog title. This particular post was from June 18, 2009 and covered Alaris Smartpumps.
  4. Best iPhone / iPod Touch Applications for Pharmacists
  5. Quick Hit – Mobile devices in our pharmacy – This post elicited a couple of interesting comments.
  6. Curriculum Vitae
  7. “What’d I miss?” – Week of June 27
  8. Cool Technology for Pharmacy –NDC Translator
  9. About -People checking up on me.
  10. Motion J3500 gets a wicked update – People are still interested in tablet PCs, even with that other device grabbing all the press.

Top searchterm phrases used over the past 7 days:

  1. “ feton capsule filling machine ”
  2. “ alaris pumps ”
  3. “ cerner and pandora data systems ”
  4. “ dell xt2 ”
  5. “ alaris pump ”
  6. “ capsule machine ”
  7. “ alaris infusion pump ”
  8. “ pharmacokinetics iphone ”
  9. “ free lexi-drugs windows mobile free ”
  10. “cloud computing”

Top blog posts and searches from last week (24)

I always find it interesting to see what brings someone to my website and what they decided to read once they get here.

Most read posts over the past 7 days:

  1. Medscape Mobile for the BlackBerry – Still rolling along after several weeks at the top. The BlackBerry is a long way from being dead.
  2. Participation in the ASHP Summer Meeting from afar #ashpsm10 – I would like to see ASHP adopt some form of live webcast during their large annual meeting like the Summer Meeting and Midyear. I don’t see a downside.
  3. Scanning difficulties with certain barcodes
  4. Cool Technology for Pharmacy – Practice Fusion EMR – Great piece of software.
  5. A recent trifecta for bar-coding
  6. Best iPhone / iPod Touch Applications for Pharmacists – Just throw any Apple product in the mix and it’s bound to make the list.
  7. Quick update: Pharmacy iPad use – See #6 comment
  8. Cool Technology for Pharmacy – This was before I started putting the name of the cool technology in the blog title. This particular post was from Jun 18, 2009 and covered Alaris Smartpumps.
  9. Curriculum Vitae
  10. Musings on the “cloud”

Top searchterm phrases used over the past 7 days:

  1. “cloud computing cartoon”
  2. “black cloud”
  3. “ipad practice fusion”
  4. “dynamed”
  5. pharmacist dispensing equipment
  6. ipad pharmacy applications
  7. drug information handbook and ipod
  8. medscape.com/blackberry
  9. latitude xt2
  10. ipad in pharmacy

Cool Technology for Pharmacy

Bar code medication administration (BCMA) is nothing new, but remains a hot topic in healthcare nonetheless. Another topic that has generated significant interest in healthcare over the past couple of years is the use of smart pumps, which I have posted on before. Unfortunately for most hospitals the two remain independent of one another with no appreciable integration. The integration of smart pumps with BCMA was one topic of discussion at this years ASHP midyear. I attended a couple of presentations from healthcare systems that had successfully integrated information from their pharmacy information system (PhIS) directly into their smart pumps for use with their BCMA system. Like many other ideas presented at large conferences, the situation is the exception rather than the rule.
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An infusion pump that can be used around MRI scanners…Cool!

pumpsyringThe MRidium 3860+ from IRadimed is the first non-magnetic iv pump with integrated SpO2 monitoring designed specifically for use around MRI scanners. According to the manufacturer: “The new 3860+ offers significantly upgraded performance and features to the already proven MRidium MR IV pump product line. With the addition of a 10 key numeric input keypad and its wider pumping range of O.l mL/Hr to 1400 ml/Hr, the 3860+ series allows quick programming and broad fluid flow control. The drug library has been enhanced to allow user profiles to be stored and easily transferred via the SD memory card to other pumps. With the addition of the Masimo SET Sp02 monitoring and specialized fiber optic sensor, the 3860+ facilitates both safe sedation AND monitoring in one portable MR safe unit. Approved for use in 0.2 to 3 T Magnets. Features: Dose Rate Calculator, Bolus Dose Programming, Secondary Drug Delivery, Syringe Delivery, Adjustable Occlusion Pressure, KVO, SpO2 monitoring, and Alarm Settings, [and] CQI Data Ability w/Tracking Software which records up to 3000 Entries.” A couple of things that stand out, besides being able to use it around an MRI scanner, are the wide range of infusion rates and the ability to use standard 10 to 60 mL syringes with the MRidium Syringe Adapter IV Set (image shown). I’ve seen several pumps that limit users to 999 mL/hr, which can create an issue in certain circumstances. The ability to utilize syringes comes in handy for pediatrics; most pediatric infusions require an entirely different pump.

Pharmacists aren’t typically interested in infusion pumps, but they catch my eye from time to time since my involvement with the Alaris Smart Pump project at our facility.

The use of speed bumps in healthcare

speed_bumpsOne day last week I was driving home and happened by a school that doubles as a community swimming pool in the summer. The street had several large speed bumps, forcing me to move rather slowly. I’m usually irritated by speed bumps because they slow me down. This day, however, I was happy they were there because a little boy darted out in front of me. I drive a ¾ ton Ford f250 crew cab pick-up. It’s big and heavy. I have serious doubts that a child would stand much of a chance if they went head-to-head with my truck. Fortunately I was coasting along at a safe 10 MPH secondary to the speed bumps and easily came to a stop at a comfortable distance away. At that moment I was thankful for the safety feature built into the pavement on the road, i.e. the speed bumps.

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Cool Technology for Pharmacy

Alaris System: “The Alaris® System by Cardinal Health is designed for infusions and patient monitoring. It helps protect the patient and clinician from consequences of medical errors and helps positively affect patient outcomes through continuous improvements in clinical practice. The point-of-care platform standardizes every type of infusion on a common user interface and adds respiratory monitoring and bar coding as needed. Also a state-of-the-art computer, it bridges the gap between IV and IT to help prevent harm and optimize care.”
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