计划您前往自治药房的旅程188金宝慱官网送188

Episode Highlights

Current Challenges of Health System Pharmacy Technology

Jim Stevenson

我认为许多人在国际移民组织的报告came out about To Err is Human, and it spurred many of us to put in place new technological solutions like CPOE and barcode med administration and the expectation was that by putting in this technology we'd eliminate errors. And here we are 20 years later and we've made some progress, but there's certainly lots of errors that are still occurring, lots of deficiencies in our process, and in some cases we recognize that the addition of technology has actually created new opportunities for errors. A lot of it has to do with the lack of integration of the various systems that we're using to manage this.

Lack of Technology Integration

Jennifer Tryon

And so we find ourselves in a place where our systems could be a lot more assistive and supportive of our med use processes. Some of the data from a recent ASHP survey on the pharmacy workforce within hospitals shows that pharmacies spend only about a quarter of their time on what is defined as clinical activities—which is an area where we can have some of the greatest impact in helping our patients achieve their health outcomes. And instead we find that they're spending more than half of their time working on the drug distribution processes and trying to get things to work in a seamless way from a patient perspective. But it just takes a lot of manual labor, so I think the other piece with that data that's really eye opening for me is that the percentages that I just shared with you haven't changed much over time and they've been pretty consistent throughout the years, and so we know there's opportunities for improvement and that's what the Autonomous Pharmacy Advisory Board has been thinking about and working toward.

Jim Stevenson

One of the things I did when I was chief pharmacy officer at the University of Michigan was I had one of our staff go through and make a list of all the different systems that we had to support in order to make our medication use process work. And I was shocked when he came back with that because what I found was there were 56 different systems that we had to support and maintain in order to allow our medication use process to work. And of those 56 systems you can imagine very few of them talked to each other. So again it was this very manual human effort to make things work.

Defining the Autonomous Pharmacy

Jim Stevenson

我对自动药房的愿景意味着能够真正连接所有自动化和数据。188金宝慱官网送188您知道，我们经常谈论我们的行业数据丰富，但信息差。我们很难获取这些数据并以非常有效的方式使用它。因此，这确实意味着连接自动化，使事情减少手动，并真正能够将数据汇总在一起，并使用这些数据来提高安全性，效率，财务绩效和法规合规性，以等待一些。通过以更加集成的方式这样做，这应该允许像药剂师，护士和其他人这样的医护人员真正意识到他们为什么进入医疗保健的全部范围，这是为了帮助患者获得最佳成果。

Jennifer Tryon

我想想我们今天的劳动力nd the number of touch points they have with technology. I think about technology being able to accomplish much of that work itself, so we can then utilize our people to be more patient-facing. So with the autonomous pharmacy it incorporates technology in a way that operates at the top of its functional capabilities so that humans can then also operate at the top of their functional capability and work elbow to elbow and hip to hip with patients and with other healthcare team members—really being patient-facing when our pharmacists and providers are free from having to do a lot of those manual tasks that are required to operate our disparate and inefficient technology systems today.

The Components of The Autonomous Pharmacy

Jim Stevenson

The autonomous pharmacy, while it's one vision, it actually has multiple layers incorporated with it. I just want to spend a couple minutes just sharing those layers. So first there's a cloud data platform and that's important to create integration and allow us to have advanced analytics. Second, there is also an element of automating our workflows and that's important because it allows us to minimize our reliance on human touch points and interactions and allows us to reduce repetitive tasks. And then the third element of the autonomous pharmacy is the extensive use of data intelligence, and all of these are important because having automation is important but automation alone is not going to be enough. We need to be able to leverage data from our automated systems in a way that delivers real-time actionable intelligence insights.

Jim Stevenson

The board identified some things early on that were going to be foundational or critical to really achieving this this vision. And one of the principles is that we need to have a high level of digital visibility to medications within the health system across all sites of care. Sometimes we refer to this as moving to a state where every dose of a medication is like a node on a network. Only when we get that digital visibility will we really feel we will be able to manage at the level that we need to within our system. And the goal of that digital visibility is to really understand everything about every dose of the medication that's needed to achieve the optimization of use. This includes when and where the dose was manufactured; when it will expire; what the lot number is; where it's been; where it's going; who it's going to be used in; information about adverse drug reactions or pharmacogenetic information. All kinds of information about every step of the way, from the use of that product from when it enters a health system until it's given to a patient and then actually beyond that into the monitoring phase.

Jennifer Tryon

当我们为自动药房开发框架时，我们以与自动驾驶汽车所看到的相似的方式进行了此操作，188金宝慱官网送188那里有多层框架或逐步的逐步递增方法，从当今的系统中获得的位置，以充分实现自动驾驶药店。因此，这不是一个开关开关，而是一个增量过程，它在此过程中具有拾音器和好处。因此，该框架的水平从非自治药房到完全自主的药房和介于两者之间的几层，从本质上讲，这是我们在当今许多系统中所看到188金宝慱官网送188的，我们正在操作具有历史信息的报告，然后我们尝试尝试分析该数据。数据通常是我们可以访问的信息 - 可能不是我们要访问的信息，而是当时我们可以得到的。该数据是历史性的，有时是有点过时的，我们试图将其应用于当今的问题和明天的问题。我们认为，随着我们朝着自治药房迈进，我们将能够获得更多的实时和可行的信息，188金宝慱官网送188而不是这种历史观点。我们需要这一点才能做出最佳决定。另一方面，当您朝着实现完全自主药房的方式迈进时，那时，我们将拥有真正的辅助计算机系统，自动化和人工智能执行工作，需要人们今188金宝慱官网送188天这样做。 We know technology can't do it today—it's just not at that point yet. And so it's fully integrated, fully interoperable, and at that point we would be able to utilize our people as intended: to be more patient-facing and to be working alongside patients to deliver better outcomes.

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药房播客的未来由药房播客网络生产和分发。本播客中表达的观点和观点是作者的观点，不一定反映任何其他机构，组织，雇主或公司的官方政策或立场。分析中的假设并不能反映作者以外的任何实体的位置。这些观点始终会随时可能发生变化，修订和重新思考，并且可能不会永久地保持。