8/3/2019 Medication dispensing cabinets play key role in putting Bloomington at leading edge of patient safety

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Bloomington HospitalMedication dispensing cabinets play key rolein putting Bloomington at leading edge of

patient safety

Overview

As a leading hospital in Indiana,Bloomington Hospital enhances healthby advancing the art and science omedicine through the use o newtechnologies, procedures and care.

Prior to having any automationtechnology, Bloomington developeda comprehensive medication saetystrategy to dramatically improve thesaety o the medication process romthe distribution center to thebedside. The strategy was comprised

o our key elementspatient saety,nursing worklow, pharmacy productivityand physician medication use. And whenthe ocus was on a combination opharmacy productivity, nursing worklowand patient saety, thats whereAcuDose-Rx medication dispensingcabinets it seamlessly into the strategy.

Our overarching goal or this projectwas to use technology to ensure that ourprocesses were putting us at the leadingedge o patient saety in the medication

use process, explained Michael Melby,director o pharmacy at BloomingtonHospital. And when we chose toimplement McKesson Automationsolutions, we had the highest level opatient care and saety in mind. All othe solutions we currently use, especiallyour AcuDose-Rx medication dispensingcabinets, provide us that.

At a Glance

Bloomington HospitalBloomington, IN

Bloomington Hospital has been innovativein providing quality health care to southcentral Indiana communities or more thana century. Bloomington Hospital is a not-or-proit organization and has a patientbase o 413,000 in 10 counties.

Solution Spotlight

AcuDose-Rx

Other Automation Solutions

NarcStation

Horizon Meds Manager

MedCarousel

Results

Dispense over one million doses a year

Medication selection errors reduced rom3700/year to 600/year with AcuDose-Rx

Missing doses reduced rom 150/day toto less than 25/day with AcuDose-Rx

Ater implementing automation,turnaround time rom order receipt tomedication availability was reduced rom90 minutes to seven minutes

Improved nursing satisaction

Stronger pharmacy-nursing relationship

Automation Solutions

Case Study

Challenges

Prior to installing AcuDose-Rx medicatiodispensing cabinets, Bloomington acedseveral challenges speciic to medicatiodistribution on the nursing units: Medicationdistributionand

administration was subject to humanerror without an automated system

Turnaroundtimesbetweenorderwritten and medication received werperceived as too long by our nursingcustomers

Therewasnoreal-timeautomated

tracking o medication usage,overrides and controlled substancediscrepancies

Therewerespaceissuesformedication storage

Relationshipbetweenpharmacyandnursing was strained

Melby explained that everything at thattime was manual, rom the pharmacytechnician picking the patient speciicand loor stock medications, to the nurdispensing and administering them. Th

nurses picked medications rom patientspeciic, 24-hour supply drawers, andthe saety control was a visual check.The nurses would reconcile controlledsubstances at the end o each shit.

With a manual process, theres alwaypotential or human error, and that waa huge concern. added Melby. Our

8/3/2019 Medication dispensing cabinets play key role in putting Bloomington at leading edge of patient safety

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McKesson Automation Solutions

500 Cranberry Woods Drive

Cranberry Township, PA 16066

(724) 741-8000

www.mckesson.com

Bloomington Hospital

2010 McKesson Corporation product and service names listed herein which bear the and symbols are registered with the U.S. Pate

and Trademark Ofce. All other product and service names are protected by non-registered trademarks or service marks, respectively.

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added saety check and assurance thatthey are dispensing the right medicatioor the right patient. Bloomington

Hospital dispenses over 1 million dosesmedication per year. According to Melbmedication selection errors decreasedrom 3700 per year prior to AcuDose-Rto 600 per year ater AcuDose-Rx.

The system automatically tracksmedication use, patient charges,inventory levels, overrides and controllesubstance discrepancies. Bloomingtonhas realized a signiicant reduction inmissing medications and stock outs.Missing doses went rom 150 per day

prior to AcuDose-Rx to less than 25 atAcuDose-Rx. Inventory stock outs perweek were reduced by 50 percent.

Additionally, the capacity o the cabinis a big beneit or Bloomington. WithAcuDose-Rx cabinets, the pharmacy isable to provide 96 percent o the irstdose and maintenance medicationsneeded by nursing with an average 7minute turnaround time rom orderreceipt to medication availability.This compares to an average o 90

minutes prior to automation. Previousnursing saw the pharmacy as a barrierto getting the patients neededmedication. Now the pharmacy is seenas a acilitator.

AcuDose-Rx has been a great additionto our hospital. We have improvedpatient saety and are reaching ourmedication dispensing goals, concludeMelby.

The nurses know they can count on

AcuDose-Rx. The system is very reliable,

easy to use, and the nurses know that

they always have the medications they

need, when they need them.

Michael Melby, MS, FASHP

Director o Pharmacy

Bloomington Hospital

nurses would also spend a signiicanttime tracking down missing or misplacedmedications which meant more calls

to pharmacy and less time spent withpatients.

Answers

As part o the medication saetystrategy, Bloomington implemented65 AcuDose-Rx cabinets in 26 nursingunits. AcuDose-Rx has made a signiicantimpact on the hospital by streamliningpharmacy and nursing worklow,improving patient saety, increasingcharge capture and improving the

relationship between pharmacy andnursing.

Since weve implemented AcuDose-Rx,we have a stronger relationship with ournursing colleagues, explained Melby.Now we have a shared worklow. Itsno longer us versus them. We worktogether as a team.

The nurses at Bloomington, along withthe pharmacy, have been extremelysatisied with the AcuDose-Rx cabinets.

He added, The nurses know theycan count on AcuDose-Rx. The systemis very reliable, easy to use, and thenurses know that they always have themedications they need, when they needthem.

For the nurses, the worklow is simple.They log in and the cabinet points themto the correct medication or a speciicpatient. This also gives the nurse the