Mediware Presentation

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NextRxBuilding a Safer Healthcare SystemGwen
Powers, RPhPharmacy Systems ManagerBill Park,
PEProduct/Software Development Manager
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The Need for Safer Healthcare

• 1 mill medication errors each yr in hospitals
• 7,000 deaths annually from medication errors
• Preventable med errors estimated to cost 2
  billion nationally

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Responding to the Need for a Safer Healthcare
Environment

• Federal / State Legislation
• Regulatory Initiatives
• Purchasers, Professional Accreditation
  Organizations
• Consumer Awareness

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Where do Medication Errors Occur?
Transcription 12
Ordering 39
Administration 38
Preparing 11
Leape LL et al. Systems analysis of adverse drug
events. JAMA 199527435-43.
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Building a Safer Health Care System
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Computerized Prescriber Order Entry

• Benefits
• Improves Patient Safety Quality of Care
• Costs
• Challenges
• Not a panacea

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Barcodes at the Point of Care

• Benefits
• BPOC systems can protect patients from medication
  errors
• Positive patient identification
• Positive medication identification
• Costs
• Challenges

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Bar-coded Unit of Use Medication

• Benefits
• Valuable for dispensing accuracy
• Valuable element for tracking medications patient
  by patient
• Costs
• Challenges
• FDA Mandate

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MedCache?
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NextRx MedCache

• Open Source packaging
• Automatic sorting and loading
• Dynamic inventory storage
• Fast and accurate dispensing
• Concurrent operations
• Streamlined implementation

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Open Source Packaging

• Manufacturers unit dose packages
• On-site packaging (ATC, Euclid)
• External vendor packaging (UDL)
• Over-wrapped items (pouches, boxes)

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Automated Stocking
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Automated Stocking

• Handles unsorted medications
• Scans barcode of each medication prior to storage
• Only stores medications with readable barcodes
• Stores each medication in a separate slot

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Automated Dispensing
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Automated Dispensing

• Touch Screen user interface
• PhIS Fill List First Dose functionality drives
  routine first dose dispensing
• Supports Patient Specific and Floor Stock
  Inventory dispensing
• Fast Dispensing 30 seconds/patient
• Facilitates readable barcodes to the point of use

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MedCache Demonstration Video
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Inpatient Medication Value Chain
1 Prescribing 2 Preparation
3 Dispensing/Med Delivery
4 Patient
Administration 5 Documentation 6 Patient
Monitoring
Returned Medications
Physician Orders (written)
Monitor Effectiveness
Rx Order Entry into Computerized Patient Profile
NextCart or Other Carts
Hospital Information System
Bedside Administration Applications
Orders/ADT Pick List
Envelope/Bag
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MedCache
Cabinets/Cassettes
Medication Administration at Point of Use
Manual Dispensing of Medications
Unit Dose Options
Bulk Automation Manufacturer Unit
Dose Proprietary (i.e. Robot Packs) Table-Top /
Low Tech Manual
Risk Points for Error
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Potential Operational Improvements

• Accurate dispensing means fewer missing doses
• Fewer dispensing errors means fewer ADEs or
  medication errors
• Faster dispensing means FTE can be re-deployed to
  value-added tasks
• Simple handling of returns easy inventory
  management means reduced inventory costs

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Streamlined Implementation

• Small footprint of 9 x 4.5 x 7 (LWH)
• Minimal software configuration
• Little or no site alteration
• Reliable operation
• Comprehensive self-diagnostics

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MPUG VENDOR FAIR

• Please join us on Tuesday, April 29th from 5 to 9
  PM for a demonstration of NextRxs MedCache

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