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 Director or of of Pharmacy (Retir tired) Da David id Ma Ma – Cli Clinical Pha Pharmacist

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…

Project Timeline … so what happened in between?

The beginning… The interface with iPharmacy could  Dispense & Distribute

Workflows  Current state and future state eg

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

Progress…

Re-organised

iPharmacy Interface  Dispensing  Methadone, Buprenorphine  Prescriptions  Distributions ► Distribution Credit  Goods Receipt ► Supplier Credit  Transfers  Manufacturing  Free Returns  Borrow/ Lend  Disposal  Stock Adjustment

Supply to Patient

Other Functionality – May 2018  Stock Check  Role provisioning  Location settings  Discrepancy alerting  Location awareness  Reporting  Stock Refill  PODs  Security Sealed Bag  Patient administration

Reporting  All transactions are fully trackable via the reports

User Acceptance Testing (UAT)

Training and Cutover  Training  1 hour interactive workshops  10 pharmacists per session  Cutover (Main Pharmacy)  164 drugs the night before go live

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

Downtime

Downtime Printout

What about the wards?  Aug 2019 – First ward Go Live  Administration and PODs functionality  Benefits?  Stock Check  Estimated faster by 30%  Administrations – 2 nd and subsequent  Estimated faster by 30%  PODs – Supply and Reseal

Administration

POD Management

Questions?

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

Future?  Interfaces?  Clinical system  Automated Dispensing Cabinets

Dashboard