Pharmacy in Hospital Setting

Pharmacy in Hospital Setting

 

Pharmacy is central to all care areas within a hospital setting and where significant investment in technology will be required over the coming years to assist pharmacy & hospitals  continue to deliver their service safely and efficiently..

 An informative presentation  ’Current State & Future Possibilities - Perspective of Hospital Pharmacist & Technology Manager’’   from Peter Kidd Deputy Chief pharmacist ,UHG: at the ePharmacy  ecosystem meeting  outlined  a patient’s care pathway   and where  there are currently 20-30 steps required from prescribing to delivery…

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 Tracking  a prescription quickly highlights some of the challenges faced by pharmacy  with their current technologies & manual processes..

 

closed loop current

 

Electronic Ordering  &Changing Business Processes Yields Significant Benefits...   -

A pilot running in AMNCH  utilising mobile technology and redeploying pharmaceutical technicians to wards to ensure medicines are managed effectively including ordering and storage of medicines on the ward is yielding  very impressive results.

Reduction of orders to Pharmacy by about 10%, Monday to Friday and 25% at weekends. In addition a non-stock order requiring 20 items would typically take 2 hours to complete (Pharmacist and Technician time) can now be turned around in about 15 minutes. The resource gained is being redistributed to direct patient care . 

Audit  of pilot has demonstrated

  • A 45% reduction in missed doses for patients
  • A 25% reduction in interruptions during drug rounds
  • A 20% reduction in time taken to complete drug rounds
  • A high degree of nurse satisfaction - 100% agreed that the WBT service has
  • saved nursing time
  • improved time taken for ordered medications to reach the ward
  • made locating medications on the ward easier

 

Modern technologies are  Key....    Some hospitals like the Mater hospital in Dublin  have over the years invested in technology to assist pharmacy.  The Mater is the only state hospital utilising robotic dispensing technology ,  ordering  available  from anywhere in the hospital,  good processes in place ,  almost paperless in  the pharmacy  and an example of how technology is assisting pharmacy within an Irish hospital.

Chief pharmacists around the country have identified  technologies that would revolutionise pharmacy within Irish hospitals and are keen to be part of any National initiative that would progress this agenda..

Utilising  automation and intelligent systems will improve the entire medication administration process from the way medications can be prescribed, dispensed, to how medicine is given to patients e..g.

  • ePrescribing to allow medical personnel to generate an electronic prescription anywhere within the hospital.
  • Core to pharmacy work is a  modern and effective pharmacy system tracking medicines from time stock arrives in pharmacy right through until it is dispensed to a patient
  • The introduction of robotic dispensing technology into the pharmacy to assist medicine preparation.

 

Use of Robotics

In the Public Sector here in Ireland there has been relatively low investment in  robotic dispensing technology to date . The exception is in the Mater Hospital in Dublin whose investment in a robotic dispensing system has been a huge success ,central to their workflow and a working example in a public hospital within Irish Healthcare .

Robotic dispensing technology  in Pharmacy is well tested and utilised in hospitals and community pharmacies around the world and the technology has been adopted by  a number of  pharmacies across Ireland e.g.

robots

Weedle Pharmacy, Mallow 2008    http://www.irishexaminer.com/ireland/health/pharmacy-robots-cut-drug-dispensing-errors-62896.html

Scottish hospital 2010 - A robotic pharmacy has improved safety and saved money http://www.bbc.com/news/uk-scotland-tayside-central-11552610 

Broderick’s Pharmacy , Cork 2013   http://www.irishexaminer.com/ireland/city-pharmacy-staff-receive-a-helping-hand-as-robot-dispenses-medicine-243104.html

Waterford Health Park Pharmacy   http://www.waterfordpharmacy.com/index.php?contentid=robotic-dispensing

Galway Clinic - has invested in robotic dispensing system  - http://www.galwayclinic.com/

 

Barcoding end to end – Closed loop  Medication Management System

 

 Examples of Closed Loop Medication Management Systems in operation around the world :

Boston’s Children’s Hospital:

http://ehealthspace.org/news/closing-loop-medication-management

Integrated Health Information Systems - Project show case Closed Loop Medication Management (CLMM) System

https://www.ihis.com.sg/services/Pages/CLMMS.aspx

closed loop example1

Current Status

Hospitals ( NOV2015 )