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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?