KDHCD Pharmacy Automation
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Kaweah Delta Health Care District in California underwent three phases of pharmacy remodeling and automation between 2008 and 2009. The goals were to reduce medication errors, create an error-free automated dispensing system, increase efficiency, and control inventory and costs. Phase I implemented AutoPack, AutoLabel, and AutoCarousel technologies to automate packaging, labeling, and storage/retrieval of medications. This increased efficiency and accuracy of filling the medication dispensing cabinets (Pyxis). Subsequent phases focused on clean room facilities and increasing workspace. The remodel was part of a medication error reduction plan to fully automate medication distribution using barcoding technology.
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KDHCD Pharmacy Automation
- 13. Pharmacy Remodel - Phase I AutoPack February 2008
- 16. Pharmacy Remodel - Phase I AutoLabel February 2008
- 18. Pharmacy Remodel - Phase I AutoCarousel March 2008
- 28. Remote Ordering
- 32. Maximizing Storage Space Herman Miller (A-size subcontainer) fit perfectly in the gaps
- 33. Pyxis CUBIE / PARx Technology Implemented with Pyxis 3500 in April 2008
Editor's Notes
- Indications: Acute Coronary Syndrome w/ or w/o PCI, recent MI, stroke, or established PAD
- Discuss difficulty with insulin flag labels and work around for lot and expiration date, i.e. altering label template Insulin for BCMA …. What a hassle
- http://picasaweb.google.com/jerry.fahrni/CarouselInstall#
- shouldn’t store chemotherapy in it Large bulky underestimate storage space - virtually no “extra” room for future storage. What about refrigerated items?
- Large items, such as our premixed DOPamine and DOBUTamine bags, metronidazole piggybacks “ static carousel” - fitted with adjustable shelving to accommodate the large blue bins that we use for storage. designated as RS1, for Remote Stock 1. shelves numbered in order from bottom to top and the bins are numbered left to right just as they would appear in the carousel - example premixed DOPamine bag (400mg/250mL) would appear as RS1-002-03-01 (Remote Stock 1, Shelf 2, Bin 3, Slot 1). Disadvantages shelves are more than 10 feet from the nearest carousel - don’t get the immediate visual feedback for an incorrect scan too easy for someone to pull an item without going through the scanning process. bypasses the safety features and creates a discrepancy -
- AutoPharm’s remote ordering function. “ IVRoom”
- small bins from Herman Miller (A-size subcontainer and are 2-3/16″ High x 13-13/16″ Deep x 2-1/4″ Wide) fit perfectly in the gaps. small items like opthalmic drops, otic preps, etc.
- PARx in combination with our AutoPharm/AutoCarousel system . Replenishment Manual pull Decrease in fill errors