Barcoding Solution In Pharmacy June2009

Implementing a Barcode System in Pharmacy

Jerry Fahrni, Pharm.D.IT PharmacistKaweah Delta Medical CenterVisalia, California

Kaweah Delta Medical Center

Located in the San Joaquin Valley of California

460 bed acute care facility Offers a variety of services

Inpatient Outpatient

New tower opened April 2009

Kaweah Delta Medical Center

Visalia, California

Medication Error Reduction Plan Task force created in July 2005 8 nurses and 2 pharmacists as part of the

facilities MERP Purpose = develop a model to reduce risk of

errors Implement technology at different steps in the

medication use process Heavy use of barcode technology

Bar Coding Plan All medications will have a readable bar code

prior to dispensing Create an error free Pyxis fill Increase Pyxis fill efficiency Automate wholesaler ordering Automate inventory

Barcode Equipment Implementation Pharmacy Remodel

Phase I completed in February 2008 Designed around automation

Phase II completed in December 2009 Designed around clean room and dispensing

Phase III completed in June 2009 Designed around work space

Pharmacy Remodel - Phase IAutoPackAutoPack

Implemented February 2008

Pharmacy Remodel - Phase I“Design the pharmacy around the technology”

AutoCarousel AutoCarousel Implemented March 2008

AutoPack Unit-dosing solution for

bulk tablets 500 canister model Interfaced with AutoPharm Interfaced with carousel Currently have 122

medication canisters. “Back-fill” model vs.

“Primary-fill” model

AutoCarousel Inventory management and storage solution for

barcoded medications Medications placed in the carousel MUST be

barcoded Integrated into our pharmacy system (Siemens) Integrated into Pyxis

Replenishment PARx OMNL

Integrated to AutoPack

Pyxis PARx Technology Implemented April

2008 (Pyxis 3500) OMNL Replenishment Manual pull Significant

decrease in error rates

Extending AutoPharm’s Reach Storage outside the carousel

Chemotherapy Large, bulky items with high turnover

Increasing storage within the carousel Refrigerated Storage “Other” locations

Remote ordering

Storage Outside the Carousel

For large items with high turnover

Take advantage of barcode

Take advantage of inventory tracking

Mimic carousel shelving

Increasing Storage Space

Remote Ordering

Lessons Learned Devoting a pharmacist to the project KEY Identify at least one pharmacy technician to be part

of the transition Identify at least one pharmacy technician to take

ownership Conduct training sessions close to “Go-live” Do as much integrated testing as possible Build a clean formulary and standardize whenever

possible

Was it worth the effort? Benefits

Error Reduction Improved patient safety

First dose dispensing (scan on first dose) Scan on Pyxis pull / Pyxis stock / restocking /

Improved inventory management Improved Efficiency

Thank you - Questions?