using technology to address medication errors by john chee,
TRANSCRIPT
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Using Technology to Address Medication ErrorsJohn CheeBusiness DirectorDispensing, BD Asia
21 October 2016
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Prescription
Prepare/checkby pharmacist
Delivery to nursing unit
Administration
Ward Stock
Medication Distribution System
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Medication Safety
Source: Hong Kong Hospital Authority Medication Incident Statistics in Jul-Dec 2010
Top 3 Most Common Error TypePRESCRIBING DISPENSING ADMINISTRATION
Position In-patient Out-patient In-patient Out-patient In-patient Out-patient
1 Wrong DrugWrong
Strength/ Dosage (17%)
Wrong Patient (41%)
Wrong Drug (40%)
Wrong Drug (29%)
Dose Omission
(22%)
Dose Omission
(22%)
2 Wrong Drug/ Wrong Patient (13%)
Wrong Strength/ Dosage (14%)
Wrong Strength/ Dosage (15%)
Wrong Strength/ Dosage (24%)
Extra Dose (17%)
Extra Dose (17%)
3 Wrong Frequency
(9%)
Wrong Frequency
(9%)
Wrong Patient/ Wrong Label Information
(10%)
Wrong Label
Information (18%)
Wrong Dose (14%)
Wrong Dose(11%)
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Medication Management Challenges
• Medication turnaround time• Time spent on non-clinical
activitiesNurse
• Patient safety• Medication management & control• Medication diversion
Pharmacist
• Billing accuracy• Patient care quality• Hospital reputation
Administrator
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Best Practices
• Decentralized: Nurses dispense >80% inpatient medication from Automated Dispensing Cabinet (ADC)
• 2010 ASHP survey: 49% in 1999 to 89% in 2010
United States
• Parallel ADC growth seen in Canada• 53%
Canada
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. Am J Health Syst Pharm. 2012;69(9):768–85. doi: 10.2146/ajhp110735. [PubMed] [Cross Ref]
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Pyxis® ES MedStation ADC
Pyxis ES
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Medication Safety Enhancement
Pyxis ES system devices
Patient dose-specific medication labeling
Configurable, secure single line-item storage with smart CUBIE™ pockets
Duplicate patient name alerts
Easy to clean keyboard & work surface
Supporting JCI Standards
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Smart CUBIE™ Pockets
Enhanced security supports diversion preventionMarket-leading configurability
Quicker, more reliable access to medicationsImproved serviceability
Forward compatible with smart CUBIE system
Secure single line-item access to all meds- small and large
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Enterprise-Wide Integration
Pyxis Enterprise ServerIntegrate with PIS to standardize formulary managementIntegrate with Active Directory to standardize user managementCentralize configurations across hospital groups & provide site-specific flexibilityLeverage IT investments and manage less with software-only or VMware-ready
Pyxis ES system
Facility 1 Facility 2 Facility 3
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Improved Safety and ControlNarcotics & Control Medications - VOC
“At KAMC the implementationof the Pyxis MedStation and Pyxis CIISafe systems has helped optimize resources and reduced the need for nursing-pharmacy phone calls andpossible miscommunication.We are justifiably proud of ourpractice, with streamlined paperless workflow, and greater accuracy and efficiency in managing N&C medications and meeting regulatoryrequirements—all the result of our having implemented Pyxis systems.”
Pharmacist Mohammed Ali Al-Ghanmi, Director of Pharmaceutical Care Department,King Abdullah Medical City, KSA
“The implementation of the Pyxis systems to help optimize dispensing and inventory control of N&C medication at KAMC is all part of meeting our ultimate goal: patient safety. We now have complete confidence that the N&C medications we dispense every day go to the right patient, right dose with the right instructions at the right time in a shorter period of time, and that every transaction is automatically documented electronically, helping to ensure accuracy and prevent diversion. Automating N&C medication management has freed our staff from error-prone manual processes to devote more of their time and attention to clinical interventions and quality of care.”
Pharmacist Tariq Saad Tamim,Supervisor of Pharmacy Automation &Informatics Unit Pharmaceutical Care Department,King Abdullah Medical City, KSA
source: White paper study King Abdullah Medical City,June 2015
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Optimized Medication MgtEnterprise – wide - VOC
source: Case studyKFSH&RC Ryadh, KSA, June 2015
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Pyxis Facts!
Over 7,500 customers with over 400,000 units installed across the globe!
Pyxis® products have nearly 3x the customers of the nearest competitor in USA!
Currently #1 in all 6 ADC categories!
#1 in Medication Cabinet Nurse performance!
Used in 14 out of 17 U.S. News Honor Roll
Hospitals!
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Improving Patient Carein the Changing Healthcare
Environment