Study Set Content:
can incorporate CDSS. • Nurses can be notified of a potential hypersensitivity or ADR when certain trigger medications are withdrawn for a patient
Automated dispensing cabinets (ADC
hen synchronized with the(), it can provide alerts when a medication is drawn too early or too late based on the scheduled administration time.
pharmacy information system (PIS) or eMAR
This system provides a comprehensive electronic infrastructure to support the provision and management of pharmacy services.
PHARMACY INFORMATION SYSTEM (PIS)
Critical in the efficient and safe operation of any pharmacy business
PHARMACY INFORMATION SYSTEM (PIS)
Not to be confused with CPOE, the PIS is designed for
pharmacists and technicians
This system addresses the transcription, dispensing, and monitoring of portions of the medication use process.
PHARMACY INFORMATION SYSTEM (PIS)
Prescribing features are not typically included in a PIS unless a () is integrated or interfaced with it
CPOE
The application of automation within the practice of pharmacy began in the early 1960’s
PHARMACY AUTOMATION SYSTEM
In the mid 1990’s, wholesalers have expanded their technology support services for health-system pharmacies by partnering with pharmacy technology and automation companies offering support services like hand-held bar code scanners, inventory control systems and automated dispensing devices. ➢ The recent demand for automation has been driven by improved technology, the need to control costs of care and a demand for safer patient care.
PHARMACY AUTOMATION SYSTEM
can help improve the safety of the medication use system
Automation
Bates et.al described 4 phases in the medication use process
• Ordering
• Transcribing
• Dispensing
• Administration
He found that ADE occurred in the ordering and administration phase of the medication
use process
The data suggest that technology along with automated systems aimed at improving ordering and administration in the medication use process can have the greatest impact on () in hospitals.
patient safety
CPOE systems can assist the ordering phase by guiding prescribers through the order entry process and reduce the need to
transcribe orders
technology can help improve the administration phase by ensuring the five rights of medication administration
BCMA
A process that incorporates a bar code scanning functionality into the medication administration phase of medication use. ➢ It utilizes a number of hardware and software components to display, receive, and chart real-time patient and medication information, providing caregivers with the information needed to accurately administer and document medication administration
BAR CODE MEDICATION ADMINISTRATION (BCMA) TECHNOLOGY
BCMA consists of a () check of the nurse, medication, and patient at the bedside, whereby the technology checks scanned bar codes on the nurse’s identification badge , the dose of the medication, and the patient’s identification wristband.
three-way
It also verifies the drug against the patient’s (), documents the time and details of administration, and can generate a charge for the drug to the billing department.
eMAR
will require the nurse to document the reason
BCMA system
will require the nurse to document the reason.
BCMA system
