Nursing, Pharmacy Benefit from ROBOT-Rx Medication Dispensing Solution
Case StudyAt a GlanceOrganization Evergreen Hospital Medical Center Evergreen Hospital Nursing, Pharmacy Benefit from ROBOT-Rx Medical Center Kirkland, WA Medication Dispensing SolutionSolution Spotlight Overview increasing labor shortages and– ROBOT-Rx® Officials at Evergreen Hospital higher labor costs, Blanchard sought Medical Center sought to prepare for to streamline processes through– AcuDose-Rx® bar code medication administration automation. But he also wanted to– Packaging Solutions balance automation with the desire and improve efficiency of medication– MedDirect™ delivery to nurse servers. By to continue using nurse servers. implementing the ROBOT-Rx®Critical Issues system, the hospital increased Answers– Reduce the risk of medication dispensing accuracy to 99.9 percent; After an extensive review of various errors cut cart fill labor by 72 percent; and medication distribution models,– Position for bar code medication realized nearly $2 million in annual Evergreen chose to automate existing administration savings via 24,000 pharmacist-patient processes. "We already were interventions. successful in terms of delivering unit-– Support existing nurse server model dose medications to the bedside," Challenges explained Blanchard. "It became a– Reduce laborious cart fill and Located on the outskirts of Seattle, matter of streamlining pharmacy first dose operations the 250-bed Evergreen Hospital is a operations so that our staffing is– Improve efficiency in a tight community-based facility serving a most efficient. The ROBOT-Rx® labor market growing population of more than system is the obvious solution." The 400,000 people. For more than 15 ROBOT-Rx system automatesResults years, nurses at Evergreen Hospital medication storage, dispensing,– Improved medication dispensing Medical Center were accustomed to returning, restocking, and crediting. accuracy to 99.9% retrieving unit-dose medications from nurse server units. To fill the Evergreen began by packaging– Conducted nearly 24,000 clinical nurse servers with unit-dose medications in bar-coded, unit-dose interventions annually, saving medications, the pharmacy form using McKesson equipment. approximately $1.9 million performed a daily manual cart fill. "Because the packaging looks similar,– Cut first dose fill labor by 78% Selecting and checking the 1,125 we wanted to get nurses accustomed– Reduced cart fill labor by 72% daily doses took nearly 15 hours for to using it—to be able to distinguish technicians and pharmacists. what a Protonix dose looks like– Decreased crediting labor by versus a digoxin, for instance. It was 50% "The nurses liked the convenience of a smooth transition." After building– Strengthened narcotics having scheduled and common PRN its bar-coded medication stock, management medications as close as possible to Evergreen went live with ROBOT-Rx the bedside, as opposed to walking in March 2004. "At first, we to the medication room down the conducted a short trial with our hall," explained Bob Blanchard, pharmacists checking every dose the director of pharmacy. "Its good for robot dispensed," explained nursing workflow and safer, but the Blanchard. "Now we do a daily 10 cart fill was a very labor-intensive percent random check, with approval process for pharmacy." Faced with of the state Board of Pharmacy."