Parata System Research Paper

However, there are issues with this system as well because the computer is only as smart as we allow it to be. If pharmacy puts in the computer the wrong medication or dose, or information is incorrect, the computer will still allow you to administer. It goes back to communication, knowing your patient and how important it is to still ask questions and have conversation with your patient about the medication you are about to give them. Read their history and physical to get a better idea of everything going on with your patient so we can continue to provide safe quality care.

There are several types of medication, each has a purpose and function needed for their administration via the different routes.

The MediMinder also comes with a complimentary app that can be used with any hand held device that will alert family members when medication has not been taken when scheduled promoting peace of mind. The app will also send refill alerts and allows the dispenser to be unlocked remotely in the event the key is misplaced. The MediMinder contains a vast number of different programmable options so that medications can be dispensed at multiple times per day if needed, which is an option unavailable with any other competitor’s unit. It is also designed to be space-saving in size while offering a wide variety of decorative options to compliment any setting. The MediMinder supports company G’s mission statement beautifully by improving the life of its customers through electronic innovation, cost effectiveness and convenience.

Stores all the medication together securely in a locked place. It also protects staff and service users.

The Pyxis system simplifies the inventory, stocking, ordering and distribution of medications through the use of information systems.

* Reduction of medication errors- Barcode medication administration safeguards against wrong pt/wrong med/wrong dose errors and alerts to potential medication interactions (Goth, 2006).

The stage 1 of the meaningful use includes thirteen core criteria and ten menu set objectives. The first core criteria is the computerized provider order entry (CPOE). CPOE entails the provider’s use of computer assistance to directly enter medication orders from a computer or mobile device. The use of CPOE and the electronic prescription process is a technology that has been found to be helpful in preventing medication prescribing errors in several ways (Mominah & Househ, 2013). Having an accurate electronic patient medication profile will help prescribers and pharmacists review the medication history easily and consequently alert the pharmacist to communicate with the prescriber in case any unexplained change in the prescribed medication to the patient and then conforming the change with the prescriber. Applying CPOE technology reduces medication errors.

According to pharmacist T. Perryman, the errors he sees the most in the pharmacy setting “occurs when hospital made barcodes are being added to the medication rather than the medication having factory barcodes already present.” The process of standardizing all pharmaceutical drug

 Count and record the pills and container. This method inaccurate when patient is not honest to the health care providers. The data and record can easily altered by the patient. (6)  Record the rates of prescription refills will provide the number of times patient come to follow up.

Current Industry. The retail drug industry’s 2010 combined annual revenue was $277 billion, according to the National Association of Chain Drug Stores (Drug Store Industry…, 2011, par. 4).The big players in this industry are CVS Caremark, Corp. Walgreen Co., and Rite-Aid, Corp with Wal-Mart and Target developing more of a presence in recent years. According to the article, the drug store industry is very concentrated with the 50 largest companies generating about 70 percent of the industries revenue (Drug Store Industry…, 2011, par. 4). The industry had grown substantially in the last 50 years and will continue to innovate and develop well into the near future.

Nursing in today?s society involves more than technical skills, critical thinking, and compassion. It also is changing to add the ability to not only understand but be able to utilize technology to impact a patient?s health. There are many technological changes employed in healthcare practices, however, I have chosen to address bar-code medication administration or BCMA. According to an article in the Journal of Patient Safety, ?bar-code medication administration has been shown to be effective in reducing patient medical errors, yet is still only utilized in 5% of the country?s health care facilities? (Sands, Slebodnik, & Young, 2010). Medication errors are common in hospitals and often lead not only to patient harm, but also lengthy hospital stays and law suits. ?One study identified 6.5 adverse events related to medication use per 100 inpatient admissions, more than one fourth of these events were due to errors and were therefore preventable? (Bane, et. al., 2010).

After the Pharmacy technicians checks the solution for exactness, and may convey it to the patient. The expert then duplicates the data about the endorsed pharmaceutical onto the patient's profile. Specialists likewise may amass a 24-hour supply of medication for each patient. They bundle and mark every measurement independently. The bundles are then set in the drug cupboards of patients until the administering pharmacist checks them for precision, and at exactly that point is the prescription given to the patients.

The patient has medication ordered, therefore, using the Accudose machine to retrieve their medicine adds a layer of security to prevent medication errors. In nursing school, we were taught to look at the medicine three times before giving it, though I retrieved it from the Accudose, I will still make sure that it is the right medication. Technology does not take the place of the patient’s five rights to medicine. While reviewing the order, I make sure that it is the right patient by asking their name, look again at the medication, verify the correct dose as I prepare it, will give it via the right route and lastly, the medicine will be given at the correct time. With Epic electronic medical records (EMR), scanning the patient’s armband and medication SKU, maintains another layer of protection.

Set-up and workflow of my pharmacy is pretty good for patient centered care. Patient does not have to wait too long for their prescriptions to be filled. Patients can call for their refills via telephone or online, which makes their life easy as they don’t have bother coming in-person for refills. Patient profile shows all medication history as well as number of refills remaining. This makes it easy for pharmacist to know whether to refill a prescription or call doctor for refill request. After confirming to fill a prescription pharmacist runs claim through insurance and print label after claim is successful. All medication is arranged alphabetically on shelves, thus it is easy and quick to retrieve. Then after technician fills medication and then pharmacist checks it. This workflow is quite smooth and quick to process. Final check is done by pharmacist, who confirms right medication for right patient as well as the NDC dispensed, amount dispensed, direction for use, and day supply. All these steps of process take place on working table in sequential order, which helps to reduce errors in filling and have effective prescription filling. Once the prescription is filled pharmacist do all paper

The data entry stage has two major problems. The first problem is drug utilization review (DUR). As showed by PSI team for the pharmacy fulfillment process, DURs arise frequently and pharmacists must waste time to intervene. CVS’s central database of customer fails to update and understand customers’ newest condition, so that the issue of DUR triggers customer’s dissatisfaction and wastes a lot of time for pharmacists. The second problem in the data entry stage is no refill allowance. Many customers may lose track of how many refills that were allowed and drop off an ineligible script