Technology

Pharmacists remain the driving force behind the selection of pharmacy information and automated drug dispensing systems in most hospitals and health systems. But as newer technologies emerge, such as computerized physician order entry (CPOE) and bar-coding, pharmacists are increasingly being left out of the decision-making loop.

Reducing the interim between the final entry on a medication administration record and printing out the MAR can result in a significant improvement in patient safety. That's what a small rural hospital in Pennsylvania discovered using a software application that created virtually up-to-the-minute daily MAR printouts. By decreasing lag time from more than two hours to less than 15 minutes, the hospital pharmacy reduced medication errors by 40%.

Does radio frequency identification (RFID) technology have a future in automated drug distribution? This hot technology is rapidly gaining momentum with drug companies, chain pharmacies, and distributors as a way to combat counterfeit drugs. And recently Mountain View, Calif.-based Omnicell Inc. rolled out a p rototype RFID version of its OptiFlex inventory management system.

Hospitals and health systems are under increasing pressure to reengineer their medication use systems and to make the process safer, more efficient, and more cost-effective. In most instances, these types of reengineering initiatives are proprietary. Hospitals aren't in the habit of sharing the details about such projects with their competitors. But what if the data from such a reengineering project were made public for all to see and to learn from?

Drugstores chains using CenterPost's technology can automatically generate phone calls and e-mails to tell patients their prescriptions are ready for pick-up or to remind them it's time for refills.

Technology Update

Technology Update column for Drug Topics issue of Aug. 9, 2004.

The recent FDA bar code announcement, including National Drug Code (NDC) and JCAHO's plan to implement bar-coding prompts vendors to bring out offerings at breakneck speed.

Computerized physician order entry reduces prescribing errors but such systems also require advanced clinical decision support and clincial pharmacist involvement, according to a Northwestern Memorial Hospital study of prescribing errors.

If physicians are to successfully make the shift from paper to electronic prescribing, the various players in the U.S. healthcare system will have to cooperate, according to a report from the nonprofit think tank eHealth Initiative.

Pharmacy owners to delay automating until their script volume justifies the expense have it backwards, says a North Carolina pharmacist whose business has risen 20% since he bought a robot.