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Enhancing Cancer Drug Ordering: A Pilot Study on Wireless Medication Management

The Royal Derby Hospital's pilot project aims to streamline the process of ordering named patient medicines in cancer services through wireless technology. Current methods are cumbersome, often causing delays and inefficiencies. By utilizing JAC for wireless ordering at the ward level, dispensing is handled efficiently via a robotic system, improving the accuracy and speed of medication delivery. Early results from the pilot indicate staff preference for this method over traditional practices, leading to increased patient care and satisfaction. Future expansion plans are underway.

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Enhancing Cancer Drug Ordering: A Pilot Study on Wireless Medication Management

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Presentation Transcript

  1. Wireless Drug Ordering- Pilot project Colin Ward Lead Pharmacist – Cancer Services & Duane McLean Clinical Effectiveness Pharmacist

  2. Background (1) • Royal Derby Hospital comprises 4 satellite pharmacies undertaking aseptic and tablet dispensing • each with own dispensary • stock holding • stock checks • stock top-ups • potential for economy of scale • Main dispensary houses a robot • capacity to increase use

  3. Background (2) • Traditional method of ordering named patient medicines appears cumbersome • Delays getting orders from ward pharmacy team to dispensary • Legibility of orders • Further delays • Risk • Fixed delivery times to wards from satellite dispensaries

  4. More background • Chemotherapy satellite pharmacy has competing pressures related to day case chemotherapy • Oral dispensing • Aseptic dispensing • “Releasing Time to Care: The Productive Ward” project showed that drug rounds were often extended as medicines not in bedside lockers • Medicines were on ward but had not been unpacked • Does not help support self administration • “Right drug in the right place at the right time” • May result in repeat dispensing activity • ££ • Time • Pressure on OOH • service

  5. The Idea • Order named patient medicines using JAC at ward level via laptop & wireless network • Orders dispensed by robot • Ward trained pharmacy team • deliver to ward • “reconcile” against in-patient chart • place directly in bedside locker • counsel patient (if appropriate)

  6. Aims • To better understand flow of “traditional” method of ordering named patient medicines • To test an alternative model of ordering named patient medicines • To test the concept of remote ordering pre-EPMA • To test the concept of using the robot to dispense more of the in-patient workload

  7. “Traditional” Workflow (PTS)

  8. Time of Porters vs. Dispensing

  9. Orders arrive in dispensary earlier & dispensing is instant Wireless Pilot

  10. Comparison of Approaches

  11. “Issues” during pilot • As only a pilot, staff unable to “reconcile” urgent orders late in the day • Competing workload/staffing pressures could cause delays in distribution • Pilot only one ward, so chemo satellite still functioning as a dispensary for other wards • Robot in-line labelling • Wireless black-spots • Need for a trolley for the laptop • Can’t dispense specials remotely (need BN)

  12. Pharmacy Staff Satisfaction

  13. Summary • Medication was dispensed by the robot by the time that order cards would arrive in the satellite dispensary under the traditional approach • When other members of the team were asked whether we should revert back to the traditional model there was a resounding response of “No” which would imply that the pilot was successful • Pilot demonstrated proof of concept for remote ordering • Potential to interface EPMA to pharmacy stock control system

  14. The future… • Recently rolled out across all three cancer wards • Looked at use of wireless terminals already on most wards (often under-utilised) but issues with installing JAC on these • Delay whilst approval to purchase toughbook laptops • Reducing stock holding in chemo satellite now workload moved to robot • Considering use of robot to dispense pre-chemo anti-emetics (planned workload) • Potential to • Manage stock returns to JAC “live” • Top-up “live” • Awaiting EPMA

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