Author: Jerry Fahrni

  • Interesting similarity, don’t you think?

    I finally got around to digging into the article on bar code medication administration (BCMA) in the most recent issue of the NEJM. It’s and interesting article that has already receiving a lot of press. It will probably be tossed around for months.

    One thing I found amusing in the article was figure 1 on page 1706 (bottom image). I’ve had a similar visual on one of my office whiteboards (top image) for nearly a year. I like being on the same page with intelligent people.

  • Update from day two at the unSUMMIT

    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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  • PracticeRx by Doctor’s Digest for the iPhone

    I saw this application in the new issue of Hospital Pharmacy. PracticeRx is an application from Doctor’s Digest that provides informational practice tips and various alerts on health care related topics

    The registration process is quick, easy and requires that you identify your profession and specialty practice area. There are some screen shots below that show the process. I’m not clear why they want to know your specialty area, but assume the application attempts to tailor the information to your area of interest.

    I haven’t had a lot of time to explore PracticeRx, but the overall layout is nice and I found some of the small articles interesting. One annoyance is the pop-up screen that appears when you first log in. I understand the need to advertise, but a little more discretion would be appreciated.

  • The rise of the tablet, the cloud and ubiquitous computing

    There’s a great article in the April 2010 issue of Wired that spends a lot of time talking about the Apple iPad and the paradigm shift created by the development of new technologies like it. The author does a nice job of not only looking at the fantasy like love affair everyone has with the iPad, but also the reality of what’s not perfect about it and where other aggressive competitors can take advantage and drive the tablet market even further.
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  • Headed for the unSUMMIT (#unSUM10)

    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.

  • Medscape Mobile for the BlackBerry

    Medscape has been around for quite some time. In fact it was one of the first online communities offering specific information for pharmacists. I started using it sometime around 1997. It hadn’t been around for long at that time, but the content was well done.

    I received an email last week introducing the availability of Mobile Medscape for the BlackBerry; it was previously available for the iPhone and iPod touch.

    According to the email:

    > FASTER & LARGER Drug Reference
    Look up info in seconds for 7,000+ prescription and over-the-counter (OTC) brands and generics, including herbals and supplements.

    > FASTER Interaction Checker
    Quickly check interactions between drugs, herbals, and supplements – input as many drug combinations as you want.

    > IN-DEPTH Medical News
    Review the latest medical news in your specialty right in the app – news updated daily across 30 specialty areas.

    > EASIER Navigation
    Our app is designed to make it easier to look up and save drug information, read medical news, and access features.

    The application is completely free and can be found at www.medscape.com/blackberry.

    I think it’s great that Medscape Mobile is available for the BlackBerry now, but I have to wonder what the demand for such an application will be with so many physicians, nurses and pharmacists going to the iPhone. It would be interesting to see the download numbers for Medscape Mobile for each platform.

    More information on the general content of Medscape Mobile can be found here.

  • Today’s presentation on pharmacy automation

    The health care system I work for, Kaweah Delta Health Care District, uses quite a bit of automated technology from Talyst in our inpatient pharmacy. Well, today I spent the day in Bellevue, WA with the good folks from Talyst talking about all kinds of pharmacy automation and technology.

    The day started with me giving a brief presentation at their quarterly meeting about Kaweah Delta’s experience installing Talyst equipment, and ended with a tour of their warehouse facility in Preston that included a peak at their process for managing and testing canisters for their AutoPack Oral Solid Packaging System; very interesting stuff.

    Talyst was a wonderful host and I had a great time visiting their facilities and speaking with a bunch of very intelligent and interesting people. I learned a lot and had fun at the same time. You can’t ask for more than that.

    View more presentations from Jerry Fahrni.
  • Cool Technology for Pharmacy – CHS 7X

    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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  • What’s the lifespan of a tablet PC in use by pharmacists?

    In early September last year (2009) our hospital purchased some Dell XT2 tablets for me to roll out to the pharmacists; I got mine at the same time. My XT2 has performed pretty well for the most part with only an occasional glitch here or there. Unfortunately I can’t say the same for the tablets in use by the pharmacists on the nursing units.

    Over the past couple of weeks I’ve had several complaints from the pharmacists; blue screens, lost wireless configuration, loss of bezel button functions, inability to rotate the screen when in slate mode, etc. Today the ICU pharmacist dropped off his tablet in my office because none of the buttons along the outer bezel would work (CTRL, rotation and tools buttons). It turned out to be an issue with the drivers, but what caught my attention was the condition the poor tablet was in. It’s only been in use for just over 6 months and it looks pretty beat up. Apparently the XT2 isn’t designed to take the rigors of a pharmacists daily routine.

    With all the iPads we have running around our hospital now it got me wondering how they’re going to hold up once we start pounding on them day in and day out. I’m guessing not well. I suppose no device is perfect as is so eloquently described by James Kendrik at jkOnTheRun, but I don’t mind saying that I’m more than a little concerned. Oh well, I guess we’ll find out soon enough.

    Just in case you were wondering, the Motion J3400 used by the pediatric pharmacist has held up much better and is still in good shape. That’s something to keep in the back of my mind for the future.

  • My first “cloud” letdown

    The cloud punched me in the nose recently and it’s still a litter tender. I’m a huge proponent of cloud based solutions from simple things like online document collaboration and storage to web-based enterprise SaaS solutions, and I have been slowly migrating my digital life away from the desktop toward the cloud. The cloud and I have been very happy together for well over a year now, but we had out first argument last week and I lost. It’s not serious enough to consider divorce, but it was a wake up call to re-evaluate the relationship.

    I use both Live Mesh from Microsoft and Dropbox to manage and synchronize documents on multiple computers. The combination has worked very well for me. I use both applications because I like to try new things; Live Mesh came first followed by Dropbox at the recommendation of my brother.
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