Implementation of a workflow system with electronic verification for preparation of oral syringes
Implementation of a workflow system with electronic verification for preparation of oral syringes
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DOI：
10.1093/ajhp/zxy019
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发表时间：
2019-03-01
影响因子：
2.7
通讯作者：
Hamm, Mark W.
中科院分区：
文献类型：
--
作者：
Achey, Thomas S.;McEwen, Corey L.;Hamm, Mark W.
目的.描述了一种市售的、基于Web的、支持条形码的工作流程管理系统的实现，该系统用于在克利夫兰诊所填充和检查患者专用口服注射器。从历史上看，在Cleveland Clinic，制备口服注射器的过程一直是手动重复程序。在这个过程中，纸质日志是唯一的信息来源。这些日志可能很难定位或解释。它仍然是一个机械的过程，有许多手动步骤，为人为错误提供了机会。传统上，自动化，如条形码扫描，在口服注射器准备和检查期间不可用。根据日益增加的监管要求和文件的差距确定，解决方案进行了探讨，在药房的非无菌混合环境。开发、实施并评价了电子验证工作流程系统，重点评估了与口服注射器制备相关的通量和患者安全性。这是一项在学术、三级、急性护理医疗中心进行的回顾性研究。在3个月时完成分析以评价效率。关于克利夫兰诊所经验的数据显示，在美国药典第795章合规性方面，追求将先进的信息化和自动化纳入手动流程，以及企业环境中工作流程的标准化，都有很好的益处。集成条形码验证和图像捕获功能的电子工作流程验证系统的实施在非无菌混合环境中保持了法规合规性，包括制备口服注射器剂量，而不影响通量。
Purpose. The implementation of a commercially available, Web-based, barcode-enabled workflow management system for filling and checking patient-specific oral syringes at the Cleveland Clinic is described.Summary. Historically, the process for preparing oral syringes has been a manual, repetitive procedure at Cleveland Clinic. Within this process, paper logs are the sole source of information. These logs can be difficult to locate or interpret. It remains a rote process with numerous manual steps offering opportunity for human error. Traditionally, automation, such as barcode scanning, has not been available during oral syringe preparation and checking. Based on increasing regulatory demands and documentation gaps identified, solutions were explored in the pharmacy's nonsterile compounding environment. An electronic verification workflow system was developed, implemented, and evaluated with a focused assessment of throughput and patient safety relative to oral syringe preparation. This was a retrospective study conducted in an academic, tertiary, acute care medical center. Analysis was completed at 3 months to evaluate efficiencies. Data regarding experiences at the Cleveland Clinic shows promising benefits with regards to United States Pharmacopeia chapter 795 compliance, the pursuit of incorporating advanced informatics and automation in manual processes, and standardization of workflow within an enterprise setting.Conclusion. Implementation of an electronic workflow verification system that integrates barcode verification and image-capture capabilities has maintained regulatory compliance in the nonsterile compounding environment including preparation of oral syringe doses without impacting throughput.