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Using Technology to Address Medication Errors by John Chee,


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Using Technology to Address Medication Errors by John Chee,Using Technology to Address Medication Errors

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Using Technology to Address Medication Errors by John Chee,

  1. 1. 1 Using Technology to Address Medication Errors John Chee Business Director Dispensing, BD Asia 21 October 2016
  2. 2. 2 Prescription Prepare/check by pharmacist Delivery to nursing unit Administration Ward Stock Medication Distribution System
  3. 3. 3 Medication Safety Source: Hong Kong Hospital Authority Medication Incident Statistics in Jul-Dec 2010 Top 3 Most Common Error Type PRESCRIBING DISPENSING ADMINISTRATION Position In-patient Out-patient In-patient Out-patient In-patient Out-patient 1 Wrong Drug Wrong 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%)
  4. 4. 4 Medication Management Challenges • Medication turnaround time • Time spent on non-clinical activities Nurse • Patient safety • Medication management & control • Medication diversion Pharmacist • Billing accuracy • Patient care quality • Hospital reputation Administrator
  5. 5. 5 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]
  6. 6. 6 Pyxis® ES MedStation ADC Pyxis ES
  7. 7. 7 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
  8. 8. 8 Smart CUBIE™ Pockets Enhanced security supports diversion prevention Market-leading configurability Quicker, more reliable access to medications Improved serviceability Forward compatible with smart CUBIE system Secure single line-item access to all meds- small and large
  9. 9. 9 Enterprise-Wide Integration Pyxis Enterprise Server Integrate with PIS to standardize formulary management Integrate with Active Directory to standardize user management Centralize configurations across hospital groups & provide site-specific flexibility Leverage IT investments and manage less with software-only or VMware-ready Pyxis ES system Facility 1 Facility 2 Facility 3
  10. 10. 10 Improved Safety and Control Narcotics & Control Medications - VOC “At KAMC the implementation of the Pyxis MedStation and Pyxis CIISafe systems has helped optimize resources and reduced the need for nursing-pharmacy phone calls and possible miscommunication. We are justifiably proud of our practice, with streamlined paperless workflow, and greater accuracy and efficiency in managing N&C medications and meeting regulatory requirements—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
  11. 11. 11 Optimized Medication Mgt Enterprise – wide - VOC source: Case study KFSH&RC Ryadh, KSA, June 2015
  12. 12. 12 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!
  13. 13. 13 Improving Patient Care in the Changing Healthcare Environment