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Evaluation of unit dose dispenses by increasing automated dispensing station (ADS) inventory

Kalantari, Paria (2018) Evaluation of unit dose dispenses by increasing automated dispensing station (ADS) inventory. Master Essay, Graduate School Of Public Health: Multidisciplinary MPH.

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The National Association of Board of Pharmacy (NABP) Model Act defines “automated pharmacy systems” to include, but not limited to, “mechanical systems that perform operations or activities, other than Compounding or Administration, relative to the storage, packaging, Dispensing, or Distribution of medications, and which collect, control, and maintain all transaction information.” Pharmacy distribution models vary across institutions to serve their specific patient population. There are three models:
I. A centralized pharmacy model is designed to fill patient medication orders from a central location and deliver to hospital units through a cart fill workflow.
II. A point of use medication distribution model is designed to dispense doses on the nursing unit; examples include satellite pharmacies and automated dispensing cabinets. This model provides real time medication delivery to patient care areas.
III. A hybridization of the two aforementioned models in varying degrees.
Allegheny General Hospital’s distribution model is a hybrid model between centralized cart fill distribution and decentralized dispensing. In 2016, Allegheny General Hospital (AGH) upgraded to the Pyxis® Medstation ES. Pyxis® automated dispensing stations (ADS) are deployed throughout the patient care areas and dispense majority of medication doses.
At AGH, cart-fill is defined as placing individual doses of medications for patients into a separate package which has the label listing the drug name, strength, number, patient name, date of birth, Medical Record Number, the date and time of filling. This process is done on a nightly basis to provide the scheduled medications for the next 24 hours for each patient. The midnight-shift pharmacy technicians pull the next day’s cart-fill medications and pharmacists check them. The entire process consumes a significant of time and effort for both technicians and pharmacists.
Delivering medications to patients at the appropriate time, being able to respond to patients needs is a few of the problems that this study reviewed. Healthcare- associated infections, heart disease and stroke, and many other public health issues are related to this study. For example by providing antibiotics to patients faster the risk of healthcare- associated infections might be lower. Being able to have pharmacists do clinical activities and direct patient care on the floors would lower the risk of readmission to the hospitals.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Kalantari, Pariapak93@pitt.edupak93
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFinegold, Daviddnf@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberRoberts, Mark Smroberts@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: 10 December 2018
Date Type: Submission
Number of Pages: 26
Institution: Graduate School Of Public Health: Multidisciplinary MPH
Schools and Programs: School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 28 Sep 2019 22:05
Last Modified: 28 Sep 2019 22:05


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