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Maximizing Automation in the IV Compounding Process
By David F. Webster, BS Pharm, MSBA

The risks of error or contamination in the sterile IV compounding process are well documented, and pharmacy leaders have been actively seeking ways to reduce these risks in recent years. The University of Rochester Medical Center (URMC) has prioritized technology implementations to increase safety in a wide range of sterile production, including neonatal doses and hazardous medications. Our goal was to adopt a complete automation solution to address all types of preparations across all patient populations. To that end, we chose a safety technology solution that includes a non-hazardous IV compounding robot, hazardous IV compounding robots, IV workflow automation, and human-assist device robotics. To read about how URMC maximized these technologies, CLICK HERE.

Did You Know . . .
Investment in medical-grade refrigeration and continuous temperature monitoring is a necessary component of any sound medication management plan. CLICK HERE to access PP&P's Refrigeration & Temperature Monitoring Buyer's Guide.

Editor's Pick

Safe Parenteral Nutrition Prescribing and Order Review
By Phil Ayers, PharmD, BCNSP, FASHP; Jenny Anderson, MS, RD, LD, CNSC; Carman Dixon, PharmD; and Andrew Mays, PharmD, CNSC

Parenteral nutrition (PN), a complex prescription therapy, is designated a high-alert medication by ISMP.1 Despite this classification, a recent PN use survey with gap analysis reported that only 56% of organizations have precautions in place to prevent errors and patient harm associated with PN.2 The ASPEN Parenteral Nutrition Safety Consensus Recommendations address safety concerns throughout the PN process, including prescribing, order review and verification, compounding, and administration of PN.3 Compliance with the ASPEN recommendations is critical to prevent PN errors and avert the potential for patient harm throughout the PN process; thus, organizations must ensure they fully understand and implement the recommendations. To read about how to address errors that may occur during PN prescribing, order review, and verification, CLICK HERE.

References: 1) ISMP's List of High-Alert Medications in Acute Care Settings (2014). 2) Boullata JI, et al. JPEN J Parenter Enteral Nutr. 2013;37(2):212-222. 3) Ayers P, et al. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333.

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EXERTIONAL HEAT STROKE DESTROYS FROM THE INSIDE. As their body temperature rises, life is on the line.1 Discover more at Reference: 1. Becker JA, Stewart LK. Heat-realted illness. American Family Physician. 2011;83(11):1325-1330. ©2017 Eagle Pharmaceuticals, Inc. All rights reserved. MLR-NON-US-0007

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