Implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Kelley M ReeceSusan M Spivey

Abstract

The implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy are described. To estimate the risk involved in the sterile i.v. compounding process, a failure modes and effects analysis (FMEA) in the oncology ambulatory care pharmacy was performed. When a volumetric-based process was used to reconstitute vials, the actual concentration was unknown since an assumption must be made that the exact volume of diluent was used when reconstituting the drug. This gap in our process was discovered during the FMEA and was resolved with the implementation of an i.v. workflow software solution. The i.v. software system standardized preparation steps and documented each process step, enabling a systematic review of the metrics for safety, productivity, and drug waste. Over the study period, 15,843 doses were prepared utilizing the new technology, with a total of 1,126 errors (7%) detected by the workflow software during dose preparation. Barcode scanning detected 292 (26%) of the total errors, the gravimetric weighing step detected 797 (71%) deviation errors, and 37 (3%) errors were detected at the vial reconstitution step. All errors were detected during compounding, eliminating the...Continue Reading

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Citations

Apr 21, 2018·Journal of Oncology Practice·Rachel E GilbertPatricia L Trbovich
May 29, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Sunny B BhaktaKevin W Garey
Mar 22, 2019·Journal of Oncology Pharmacy Practice : Official Publication of the International Society of Oncology Pharmacy Practitioners·Ana Sendra-GarcíaMónica Climente-Martí
Feb 23, 2020·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Stephanie J JeanLindsey B Amerine
Oct 1, 2020·Journal of Oncology Pharmacy Practice : Official Publication of the International Society of Oncology Pharmacy Practitioners·Cristina Pueyo-LópezEsther Gómez de Salazar-López de Silanes
Jul 31, 2019·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Tyler G BucciLindsey B Amerine
Feb 6, 2019·Hospital Pharmacy·Anthony M Boyd, Bruce W Chaffee
Jul 31, 2019·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Stephen F EckelLynn Thornton
Dec 19, 2019·Journal of Evaluation in Clinical Practice·Hu-Chen LiuLiang Wang
Oct 25, 2020·European Journal of Hospital Pharmacy. Science and Practice·Sarah BatsonUlrich Loesch
Dec 10, 2020·ClinicoEconomics and Outcomes Research : CEOR·Lucrezia FerrarioEmanuela Foglia
Apr 7, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Connor M FlanaginMeredith Wills
Aug 31, 2021·JMIR Human Factors·Ülle Helena Meren, James Waterson
Mar 17, 2020·Journal of Patient Safety·Sini Karoliina KuitunenAnna-Riia Holmström
Dec 24, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Lindsey B AmerineCharles Gehring

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