44 Technology
Pharmacy Practice News • November 2021
Medication Safety
Optimizing IV Workflow Mgmt at Your Institution A fter you have gotten buy-in from the departmental and/or institutional leadership at your hospital to invest in an IV workflow management system (IV-WMS) for your sterile compounding, all your worries about compounding errors are over, right? Not so fast. Leading medication safety experts, such as the Institute for Safe Medication Practices (ISMP), advocate for the
widespread adoption of IV-WMS in compounding to detect and intercept the errors that humans—even when they are highly trained, experienced and vigilant—can unwittingly commit and fail to catch. Even though research and real-world experience have shown that IV-WMS can significantly reduce these errors, it’s up to the people who put this technology in place to use it most effectively.
“Automation, even a tool as advanced as IV-WMS, doesn’t remove the potential or substitute for human work,” said Charlene Hope, PharmD, the chief pharmacy quality and medication safety officer at the University of Chicago Medicine. “Rather, it creates new human work and changes the kinds of errors that people can make. There may be data overload, workload bottlenecks and new demands on your attention.
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You can maximize the benefits of your IV-WMS by addressing workarounds and errors.” The University of Chicago began rolling out IV-WMS in July 2018, beginning with its off-site freestanding chemotherapy clinics and then adding inpatient chemotherapy services a month later. “This phased-in approach involves fewer staff in the initial phase, so you can put in the workflow, train them and observe glitches with the system in a limited formulary,” Dr. Hope said. “You’re taking a complex, high-demand area and introducing software that’s going to impose constraints, which then start to reveal a lot of challenges.” For example, if you have an IV formulary that has limited standardization, now is the time when you may realize that you can no longer accommodate
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CHAIR Professor Infectious Diseases, Internal Medicine University of Michigan Taubman Center Ann Arbor, Michigan
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David P. Nicolau, PharmD, FCCP, FIDSA Distributed by Infectious Disease Special Edition, Pharmacy Practice News, and cmezone.com
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17,722
17,530
17,722
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100
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16,943
Nonrequested Copies Distributed Through the USPS by Other Classes of Mail (e.g., First-Class Mail, nonrequestor copies mailed in excess of 10% limit mailed at Standard Mail ® or Package Services rates) Nonrequested Copies Distributed Outside the Mail (Include pickup stands, trade shows, showrooms, and other sources)
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34,383
34,473
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483
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52%
51%
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