The development, implementation and benefits of a novel electronic - - PowerPoint PPT Presentation

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The development, implementation and benefits of a novel electronic - - PowerPoint PPT Presentation

The development, implementation and benefits of a novel electronic drug of dependence register in a multi-site hospital Peter Bl Blewitt t Ac Actin ing De Deputy Di Director or of of Pha harmacy Ben Ben Leu Leung De Deputy Di


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The development, implementation and benefits of a novel electronic drug of dependence register in a multi-site hospital

Peter Bl Blewitt t – Ac

Actin ing De Deputy Di Director

  • r of
  • f Pha

harmacy

Ben Ben Leu Leung – De

Deputy Di Director

  • r of
  • f Pharmacy (Retir

tired)

Da David id Ma Ma – Cli

Clinical Pha Pharmacist

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Introduction

 ‘Gee, I’d love to get rid of the books’  The concept of an electronic DD register was born

 30 page design document with mocks and rules

 Meanwhile elsewhere…

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Project Timeline

… so what happened in between?

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The beginning…

The interface with iPharmacy could

 Dispense & Distribute

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Workflows

 Current state and future state

eg

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Smoke testing

 Started Feb 2018  Beta system… there will be issues!

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Progress…

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Re-organised

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iPharmacy Interface

 Dispensing

 Methadone, Buprenorphine  Prescriptions  Distributions

► Distribution Credit

 Goods Receipt

► Supplier Credit

 Transfers  Manufacturing  Free Returns  Borrow/ Lend  Disposal  Stock Adjustment

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Supply to Patient

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Other Functionality – May 2018

 Stock Check  Role provisioning  Location settings  Discrepancy alerting  Location awareness  Reporting  Stock Refill  PODs

 Security Sealed Bag

 Patient administration

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Reporting

 All transactions are fully trackable via the reports

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User Acceptance Testing (UAT)

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Training and Cutover

 Training

 1 hour interactive workshops  10 pharmacists per session

 Cutover (Main Pharmacy)

 164 drugs the night before go live

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Go Live

 Aug 2018 – Pharmacy Go Live

 Week one – 30 issues mostly minor

 Oct 2018 – All pharmacy sites

 Benefits?  Time motion analysis  40% faster to complete a 5 item distribution (P < 0.05)  Not gone into downtime

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Downtime

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Downtime Printout

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What about the wards?

 Aug 2019 – First ward Go Live

 Administration and PODs functionality  Benefits?  Stock Check  Estimated faster by 30%  Administrations – 2nd and subsequent  Estimated faster by 30%  PODs – Supply and Reseal

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Administration

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POD Management

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Questions?

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Oral DD Syringes

 Packed down from bottles  Overage accounted for in Pharmacy  ‘ Corkscrew ‘ technique  Measure to nearest graduation

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Future?

 Interfaces?

 Clinical system  Automated Dispensing Cabinets

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Dashboard