ASHP

ASHP Midyear 2018: Initial Thoughts

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I recently returned from the 2018 ASHP Midyear Clinical Meeting, i.e. “Midyear” in Anaheim, CA. This year was a bit different for me as it was the first time in many years that I attended the meeting as a regular pharmacist, i.e. not tied to a pharmacy automation company as an employee or as a … Read more

More thoughts on the ASHP national survey results for informatics and pharmacy practice

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On Monday I spoke briefly about two articles in AJHP that summarize two recent ASHP surveys. The first covers Pharmaccy Informatics in U.S. Hospitals(1), while the second focuses on pharmacy practice in acute care hospitals(2).

Both surveys contain a wealth of information, and provide a snapshot of what pharmacies in the U.S. are doing. While conducted at different times by different groups, I think it’s more interesting to look at the two surveys together. As I mentioned in my podcast, the adoption of automation and technology goes hand in hand with pharmacy operations. You can no longer have one without the other.

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Drug shortages, whose to blame?

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Medscape: “One cause of these shortages, pharmaceutical companies charge, is the amount of time it takes the DEA to approve controlled substance quotas. The DEA has created these quotas for each class of controlled substances and for each manufacturer of drugs containing these agents to prevent their diversion to illegal uses.”

The drug shortage problem is nothing new. It has become an everyday reality of pharmacy practice. ASHP has established a dedicated website for the problem, and the FDA has gone as far as to create a mobile app to help people track shortage information.

For most people the idea of a drug shortage seems silly, i.e. just make more. The problem is more complicated than that, however. The causes of drug shortages are multifaceted.

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Saturday morning coffee [July 27 2013]

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So much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts….

It’s been a while. I feel a bit rusty.

The coffee mug below is from the ASHP Summer Meeting Twitter contest in Minneapolis, MN in June. I took third place, which is a bit of a disappointing as I was the reigning champ for a couple of years back in the day. I’ve had the mug for a few weeks, but haven’t felt like posting so it’s just been sitting in my cupboard. Thanks to ASHP, I’m certainly happy to add it to my ever growing collection.

ASHP SM 2013 Twitter Contest Mug

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Upon further review – thoughts on ASHP Midyear 2012

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I’ve just returned from a week in Las Vegas, NV at ASHP Midyear 2012. The ASHP Midyear conference is the pinnacle of clinical meetings each year for most acute care pharmacists. For me it’s not that interesting anymore as I don’t attend as a pharmacist. It just more work days for me; long work days. I didn’t attend a single “session”, but did manage to find some time to walk through the exhibit hall once and catch up with some old friends.

Enough of that, on with the thoughts:

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Sadly #ASHP misses the mark

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I’ve been an ASHP member off and on for much of my career. I’m not much for membership in organizations, but I thought ASHP would be worthy. Heck, they’re the biggest professional pharmacy organization in the country (world?), why wouldn’t I be a member.

I try to give them the benefit of the doubt, but sometimes I wonder who’s driving the bus. I believe ASHP’s goals should be to: 1) promote the profession, 2) improve the profession, 3) defend the profession from nefarious sorts, , and 4) offer guidance to help move the profession into the future. That’s it. Read into it what you will, but pharmacists and technicians pay to be members of ASHP. Why? Because they believe ASHP will make pharmacy better. Otherwise there’s no point.

I’ve dabbled in some of the small groups within AHSP, specifically the Section of Pharmacy Informatics and Technology (SOPIT). These small groups focus on specific issues within the profession. Their purpose is to come up with solutions and recommendations. And in the case of the SOPIT the goal is to help solve problems associated with pharmacy informatics, automation and technology within the practice of pharmacy. It’s actually a good group that has done some great things over the years.

One of these groups in particular had great promise as it brought together several companies in the industry to look at the problem associated with informational standards; particularly drug information updates to pharmacy formularies. One of the problems with information within formularies (drug dictionaries, drug masters, <insert other name here>) is that standards simply don’t exist. Everyone has their own way of doing it, which causes problems.

While serving as the IT pharmacist at my last facility I had to manually maintain several formularies: pharmacy information system, ADC’s, pharmacy inventory management system, barcode labeling system, online hospital formulary, etc. It was time consuming and fraught with error. And before you ask, yes I made mistakes in those systems that caused problems; problems that were a bear to fix.

The group mentioned above was brought together to look at this problem and propose a method for companies to collaborate with the sole purpose of bringing a single standard to the practice that could be utilized to populate hospital formularies in a “downhill” fashion, i.e. one formulary update delivered to a centralized location that could be pushed out to other formularies. One standard. One location to update. One  formulary to monitor. One formulary to maintain. Simple. Fewer errors. Less work. Better for the profession.

Unfortunately AHSP decided to kill the project. I’m greatly disappointed in ASHP for doing this.

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The ASHP Summer Meeting 2011 continues … (#ashpsm)

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ASHP 2011 Summer Meeting and Exhibition

I had planned on blogging daily during the Summer Meeting, but obviously that didn’t happen. Perhaps it was the big dinner I had yesterday evening followed by the insanely good gelato that put me into a food comma, or then again maybe it was just laziness. Regardless, I skipped a day.

The Summer Meeting continues to roll on with some great sessions and lots of interesting conversation. All-in-all between yesterday and today I’ve attended the following:

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Why not a computerized pharmacist?

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So IBW’s Watson recently competed and won ‘Jeopardy!”. Well, ‘Jeopardy!’ is a lot harder than verifying many medication orders routinely seen by pharmacists in the acute care setting.

According to a recent article at Network World: “Watson’s ability to analyze the meaning and context of human language, and quickly process information to find precise answers, can assist decision makers such as physicians and nurses, unlock important knowledge and facts buried within huge volumes of information, and offer answers they may not have considered to help validate their own ideas or hypotheses, IBM stated.

From IBM: “… a doctor considering a patient’s diagnosis could use Watson’s analytics technology, in conjunction with Nuance’s voice and clinical language understanding solutions, to rapidly consider all the related texts, reference materials, prior cases, and latest knowledge in journals and medical literature to gain evidence from many more potential sources than previously possible. This could help medical professionals confidently determine the most likely diagnosis and treatment options.””

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Death of intellectual curiosity, due diligence and our profession

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Over the weekend I read a tweet from a friend and colleague @kevinclauson. The tweet shared a link to an article titled “Young Adults’ Credibility Assessment of Wikipedia”. I don’t have a problem with the article. On the contrary, it just reinforces my dislike of Wikipedia as a healthcare reference source.

From the abstract: “This paper found that a few students demonstrated in-depth knowledge of the Wikipedia editing process, while most had some understanding of how the site functions and a few lacked even such basic knowledge as the fact that anyone can edit the site. Although many study participants had been advised by their instructors not to cite Wikipedia articles in their schoolwork, students nonetheless often use it in their everyday lives.” Kevin also links to the pre-print version of the article here (PDF).

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