Parenteral product error detection before and after implementation of intravenous workflow management technology

Wright, Katie; Dekarske, Brian; Clark, John Spencer; Chaffee, Bruce W.

doi:10.1177/1078155217723695

Cited by 12 publications

(15 citation statements)

References 10 publications

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“…There was no significant difference in error rates between baseline and post-implementation period. 31 Wright and colleagues found 8.5% of total errors were introduced by the automated IV workflow system which is less that reported by Moniz et al 30,31 The differences in reported error rates are likely due to variations in study design and definition of errors. Given the lack of standardized study design and measured outcomes, the impact of these systems cannot be assessed across multiple studies.…”

Section: Intravenous Automated Workflow Systemsmentioning

confidence: 92%

“…Similar to the other technologies previously discussed, the lack of well-defined outcomes with the IV automated workflow technologies limits the conclusions that can be made. [28][29][30][31][32] Observational studies, without sufficient pre-implementation data, limit the ability to understand the true impact of these systems in real-world practice. Before-and-after implementation studies must have reliable comparators.…”

Section: Intravenous Automated Workflow Systemsmentioning

confidence: 99%

“…The primary outcome was number and types of errors before and after implementation. 31 The study was unique given its before-and-after design with comparing a manual compounding process with a newly implemented IV workflow system. There was no significant difference in error rates between baseline and post-implementation period.…”

Section: Intravenous Automated Workflow Systemsmentioning

confidence: 99%

“…The post hoc analysis by Wright et al found a statistically significant difference in error detection rate in the first 3 of 4 months following implementation compared with baseline. 31 This result could indicate that the number of errors are reduced as staff become more familiar with the system over time. Limitations of the study include a short pre-implementation data collection period and lack of clinically significant metrics.…”

Section: Intravenous Automated Workflow Systemsmentioning

confidence: 99%

See 3 more Smart Citations

Critical Evaluation of Pharmacy Automation and Robotic Systems: A Call to Action

Boyd

Chaffee

2018

Hosp Pharm

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Section: Intravenous Automated Workflow Systemsmentioning

confidence: 92%

Section: Intravenous Automated Workflow Systemsmentioning

confidence: 99%

Section: Intravenous Automated Workflow Systemsmentioning

confidence: 99%

Section: Intravenous Automated Workflow Systemsmentioning

confidence: 99%

See 2 more Smart Citations

Critical Evaluation of Pharmacy Automation and Robotic Systems: A Call to Action

Boyd

Chaffee

2018

Hosp Pharm

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“…Multiple studies of IV workflow management system utilization have demonstrated a positive impact on patient safety, costs, and preparation time. [4][5][6] The sterile preparation center (SPC) at CCAD utilizes a standardized operating procedure for IV compounding and employs advanced technology, implemented through the integration of barcode-enabled workflows and an electronic verification system, whereby medication order routing, verification, preparation, checking, dispensing, tracking, and reporting are fully automated. The appendix summarizes the SPC workflow.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Workforce planning and safe workload in sterile compounding hospital pharmacy services

Chaker

Omair

Mohamed

et al. 2021

American Journal of Health-System Pharmacy

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Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose A prospective observational study was conducted to assess sterile compounding time and workforce requirements in a hospital pharmacy, resulting in development of staff benchmarking metrics. Methods The study was conducted in the IV room of a quaternary hospital over a total of 7 weeks. Compounding was directly observed and timing data collected for each compounded sterile preparation (CSP). The primary objective was to assess CSP workload, compounding time requirements, and workforce requirements to enable development of a data-driven staffing benchmark. Results A total of 320 sterile product preparations were directly observed during the study. Overall, the average time to compound 1 CSP (including small- and large-volume parenteral solutions, chemotherapy CSPs, batched CSPs, and syringes) was 3.25 minutes. Chemotherapy CSPs had the longest average preparation time (17.74 minutes); batched CSPs had the shortest preparation time, at 1.90 minutes per unit. A safe workload analysis indicated that in an 8-hour shift, 1 pharmacy technician can safely prepare 253 batched CSPs; 148 preparations of SVP solutions, LVP solutions, and syringes combined; 31 parenteral nutrition solutions prepared using an automated device; or 29 chemotherapy preparations. Through extrapolation of these results, it was calculated that a hospital with a capacity of 100 beds would require 1.4 pharmacist full-time equivalents (FTEs) and 2.7 technician FTEs to meet its sterile compounding needs, with proportionate increases in those estimates for a 300-bed hospital. Conclusion Organizations wishing to use external benchmarking information need to understand data characterization, pharmacy services offered, automation, workflows, and workload before utilizing that information for workforce planning.

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Practice-enhancing publications about the medication-use process in 2019

Vest

Gazda

Schenkat

et al. 2020

American Journal of Health-System Pharmacy

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Purpose This article identifies, prioritizes, and summarizes published literature on the medication-use process (MUP) from calendar year 2019 that can impact health-system pharmacy daily practice. The MUP is the foundational system that provides the framework for safe medication utilization within the healthcare environment. The MUP is defined in this article as having the following components: prescribing/transcribing, dispensing, administration, and monitoring. Articles that evaluated one of the steps were gauged for their usefulness in promoting daily practice change. Summary A PubMed search was conducted in January 2020 for calendar year 2019 using targeted Medical Subject Headings keywords; in addition, searches of the table of contents of selected pharmacy journals were conducted. A total of 4,317 articles were identified. A thorough review identified 66 potentially practice-enhancing articles: 17 for prescribing/transcribing, 17 for dispensing, 7 for administration, and 25 for monitoring. Ranking of the articles for importance by peers led to the selection of key articles from each category. The highest-ranked articles are briefly summarized, with a mention of why each article is important within health-system pharmacy. The other articles are listed for further review and evaluation. Conclusion It is important to routinely review the published literature and to incorporate significant findings into daily practice; this article assists in identifying and summarizing the most impactful recently published literature in this area. Health-system pharmacists have an active role in improving the MUP in their institution, and awareness of the significant published studies can assist in changing practice at the institutional level.

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Parenteral product error detection before and after implementation of intravenous workflow management technology

Cited by 12 publications

References 10 publications

Critical Evaluation of Pharmacy Automation and Robotic Systems: A Call to Action

Critical Evaluation of Pharmacy Automation and Robotic Systems: A Call to Action

Workforce planning and safe workload in sterile compounding hospital pharmacy services

Practice-enhancing publications about the medication-use process in 2019

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