Tag: Cool Stuff

  • Laser etched bar-code may help curb counterfeit drugs, among other uses

    One Nucleus: “The technique will allow faster identification and resolution of any manufacturing quality problems but will also prove invaluable as an anti-counterfeit measure because the specific coding and validation systems are almost impossible to copy.

    Currently most components within diagnostic kits, medical devices and other healthcare products and equipment are ‘stamped’ with a lot code at the point of manufacture. However, these codes are of limited use for quality improvement unless products are produced in very small batches. As a result, regulatory bodies across the world are now putting manufacturers under increasing pressure to invest in much more sophisticated traceability systems, while manufacturers are looking for effective ways to prevent the growing problem of counterfeiting of pharmaceuticals and other healthcare products.

    The breakthrough approaches being developed by Innomech will enable manufacturers to mark products with a code that is either unique to the item or shared by only a small number of items produced together.

    The codemark is an unobtrusive two-dimensional dot matrix identifier that is linked to a look-up database. In effect the matrix code acts as a ‘key’ to access much more detailed information, such as the specific batch codes of raw materials used during production, the time of manufacture, the production line and so on. A version of the database could be accessible online for anyone to verify the item is genuine.

    The codes can be printed or laser etched onto products, applied to virtually any substrate and can even be added onto the surface of pharmaceutical capsules or coated tablets. Matrix codes can be as small as 2 mm by 2 mm holding the code for up to 10 billion numbers. The codes can be read by widely available readers or in many cases from a picture taken with even the simplest camera phone, making them ideal in the battle against counterfeit medicines.”

    This is an interesting approach to an age old problem. I wonder if this technology could be used to embed drug information directly on the medication as well, an idea that I hijacked from the Nursetopia website where Joni Watson muses that “Both companies and pharmacies could add a QR code/Microsoft Tag to the medication label for patients and/or healthcare professionals to scan and directly access the patient medication information sheet.” Why not put the QR code directly on the medication itself? Why not indeed.

  • Cool Technology for Pharmacy – Spiroscout Inhaler

    The Spiroscout Inhaler Tracker by Asthmapolis is a small device that attaches to the top of an inhaler. The unit is GPS capable so that each time the inhaler is used, the GPS unit records the time the medication was taken and the patients location.

    What a great tool to not only help asthmatics control their disease, but provide physicians with great real-time data. I suppose the next step would be to integrate devices like this into the electronic health record similar to what has been done with me blood glucose and blood pressure monitoring devices.

    The Spiroscout Inhaler Tracker is used in conjunction with the Asthmapolis mobile diary to help patients map and track their asthma symptoms, triggers and use of medications.
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  • It may be time to consider robotic IV preparation at the bedside

    Hospitals make a lot of intravenous (IV) preparations. That makes sense when you consider that most people admitted to the hospital are there because their acute illness requires more care than can be administered at home; not always, but in most cases. This is especially true for patients in the intensive care unit, i.e. the ICU.

    A fair number of the medications used in the ICU are prepared on demand for a host of reasons including stability, differences in concentration, difficulty in scheduling secondary to rate variability, etc. Any pharmacist or nurse reading this will understand what I’m talking about. Example medications that fall into this category include drips like norepinephrine, epinephrine, phenylephrine, amiodarone and nitroprusside.

    Last year I mused about using devices on the nursing stations designed to package oral solids on demand at the point of care. I still like the idea for several reasons, all of which can be found in the original post.  Based on currently available technology the same concept could be applied to preparation of IV products at the bedside. Robotic IV preparation has come a long way and these devices could be used at the point of care to make a nurses, and patient’s, life a whole lot easier. The use of robotic IV preparation at the bedside could reduce wait times for nurses and lesson the workload on pharmacy.
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  • Electronic prescription pad on your iPhone

    ScriptPad is an electronic prescription pad for the iPad and iPhone. I assume you could use an iPod Touch with access to Wi-Fi, but the company website doesn’t say one way or the other.

    My brother and I were talking about doing something like this on the iPhone a couple of years ago. An electronic prescription pad on the iPhone makes perfect sense as the iPhone is so prevalent among healthcare professionals. Even though ScriptPad is promoted for both the iPhone and iPad I’m convinced the iPhone is a better option. Most people carry their iPhones with them at all times. I don’t think you can say that about most iPad users.

    SciptPad is looking for beta testers. Check the website for more information.

    ScriptPad e-Prescribing Demo from ScriptPad on Vimeo.

  • Speech recognition demonstrates value in report tunrnaround time

    I came across an interesting tidbit at CMIO.net referencing an article in the July edition of the American Journal of Roentgenology (Roentgenology definition here – yeah, I had to look it up). “According to the research team, the average report turn-around time for the department before implementation of voice recognition was 28 hours. After implementation of voice recognition, the average turn-around time was 12.7 hours, the study noted.” The original article can be found at the AJR website. The abstract is free, but you’ll need a subscription to access the complete article; or be fortunate enough to have access to a medical librarian which I do.

    Voice recognition is one of those things that has been around for quite some time, but no one seems to talk about it. I for one think it could provide value in pharmacy applications (Thoughts on speech recognition in pharmacy – September 16, 2009). I would be interested to know if anyone is exploring the use of voice recognition in pharmacy applications, if for no other reason than the pure entertainment value.

  • Cool Technology for Pharmacy – PharmaTrust MedCentre

    The PharmaTrust MedCentre is a fully automated remote dispensing machine similar to the InstyMeds Prescription Medication Dispenser I mentioned back in October of 2009. We were evaluating the InstyMeds machine when it died a slow agonizing death during budget talks.

    The idea is simple really. Load the MedCentre machine with a few hundred of the most commonly prescribed medications in ready to dispense, pre-packaged bottles, have a patient insert a prescription, or “voucher” depending on what country or state you’re in, and sit back and wait for the prescription to pop out. Just like a vending machine. Of course the patient has the option to consult a pharmacist by simply picking up a telephone attached to the machine, but I don’t assume that happens too often. Most people want their medications as quickly as possible.
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  • 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”
  • Cool Technology for Pharmacy – MedReady

    Medication compliance was an issue long before I became a pharmacist, and it will continue to be that way until the end of time. Some patients chose not to take their medication, while others simple can’t remember, and still others may be willing to take their medication but can’t for one reason or another. The impact of medication noncompliance on healthcare is staggering. Depending on the reference used, the cost of medication noncompliance can run into the billions secondary to hospital admissions caused by treatment failure.

    The MedReady system is a solution that can effectively help those with bad memories stay compliant. The small, smoke alarm looking device is designed to hold up to 28 separate medication doses with frequencies up to four times a day.
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  • Top blog posts and searches from last week (25)

    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. Cool Technology for Pharmacy – RxVerify – RxVerify is a neat piece of software that fits a nice little niche.
    2. 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 June 18, 2009 and covered Alaris Smartpumps.
    3. Best iPhone / iPod Touch Applications for Pharmacists – As I’ve said before, just throw any Apple product in the post and it’s bound to get some hits.
    4. 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 September 10, 2009 and covered the capsule machine.
    5. Medscape Mobile for the BlackBerry – Looks like interest in Medscape Mobile for the BlackBerry devices is starting to slip. Still, it’s amazing that this post stays on the list.
    6. Cool Technology for Pharmacy – Practice Fusion EMR – Great piece of software.
    7. Curriculum Vitae
    8. Bar-code musings
    9. Quick update: Pharmacy iPad use – What the heck is an iPad, anyway?
    10. Scanning difficulties with certain barcodes – I received some great feedback on this information

    Top searchterm phrases used over the past 7 days:

    1. alaris pump
    2. transparency” – Interesting, I’ve never talked about transparency in healthcare.
    3. jerry fahrni
    4. “black cloud”
    5. “cloud computing cartoon”
    6. fenton capsule
    7. alaris iv pump
    8. bcma and iv interoperability
    9. va hospital with rfid scanner
    10. ipad pharmacy applications
  • Tools of the trade

    I try to keep my weekend posts light, and today is no different. As I sit here waiting for the rest of the Fahrni crew to come to life I ran across a tweet from Garry Sykes that simply said “tool of the trade….very occasionally!” Following the link in the tweet takes you to a photo of a mortar and pestle.
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