UCSF Medical Center Opens Robotic Pharmacy to Improve Patient Safety
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- Опубликовано: 6 мар 2011
- UCSF Medical Center has opened a new automated hospital pharmacy believed to be the nation's most comprehensive facility using robotic technology and electronics to prepare and track medications with the goal of improving patient safety. Not a single error has occurred in the 350,000 doses of medication prepared during the system's recent phase implementation.
To read more: www.ucsf.edu/news/2011/03/9510...
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I am a 2nd year BS Pharmacy student in the Philippines and this type of technology both excites me and makes me very proud of the profession that I am going to take! Amazing.
I'm a pharmacist, I think I'll start researching alternative careers based on this video.
Koda-Kimble: “We’re taking Pharmacists from out behind the pharmacy counter straight to the front of the unemployment line!”
As a clinical pharmacist.. I love this! I work in a hospital that uses technology like this and it frees up the pharmacists to do what they are trained for: Pharmacotherapy. We have more time to go over patient's medical status and help improve their medication treatment. We can go and round with physicians; collaborate with other clinical staff and be clinical consultants. When we did this, we ended up hiring more pharmacists because the demand for collaboration increased once physicians worked with us and realized the added value pharmacists added to the team. Less pharmacy techs were hired though...
Pharmacist will be one the last positions to be fully automated so pharmacist have nothing to worry about. This will also make your job easier. You also get more time to fix the screw ups of the doctors who write wrong scripts much.
+James White
I am not too sure for 2 reasons:
1) You only need so many clinicians. It will not take long for hospital administrators at first put a cap on the number clinicians. Then, eventually, those administrators will look for alternatives to that are cheaper and more reliable. (Mostly cheaper)
2) Towards the end, they already showing robots make drugs for chemo-therapy and anticoagulants. Typically those types of drugs were formulated, compounded and dispensed by clinical pharmacists. Now, I could just have a robot make the drug based on patient information and their current prognosis, and then have the medication administered by an RN. Saves money, and improves reliability.
+Michael Iverson Clinical pharmacists do not dispense medications. That is the "old school" job. What we do is to clinically analyze medication orders, design therapy regimens for advance disease states, and provide pharmacovigilance. Now that we are becoming providers, we are charging for our knowledge and experience. Thanks to robotics, we are freed from perfunctory work. I can't remember the last time I touched a drug. My specialty is pharmacokinetics. I design dosing regimens for antibiotics based on renal and hepatic functions. I also use that same science when I get called to the ER to design regimens for antidotes in overdose or toxicities. Just five years ago , I was dispensing meds but new technology allowed me to fully integrate into the treatment team.
+DrVman
Thank you for your response. I am not a pharmacists, or even in the medical field, but it does not take to much to see that technology is going to do to raze this profession. (I am Mathematician/Programmer by education). You state that your specialty is pharmokinetics. That is most technical area that a person with a Pharm D can master. However, there are already software that 'help' pharmacists to model reaction rates, drug expectations and so forth. It will only be a matter of time before someone out there that will expect, or an enterprising person to develop and push a smart system that will do more than model, and simulate. It is only a matter of time. Hek, look at the lawyers. The very bread and butter of their profession: Contract writing,, Proof reading contract, wills, and business contracts are increasingly being automated. This had an effect of "Freeing up" lawyers to do litigation and "Court Room Theatrics", but you need so many, and law firms actually laid off lawyers, and the firms are not hiring new lawyers like they use to. But if you asked a lawyer 20 years ago if automation would have any 'Negative' effects on their profession, they would have laughed and thought you were crazy.
Michael Iverson
+Michael Iverson There are so many variables in medicine that no single software can make outcomes for us. We use software as a tool but the answer is a machine answer for a machine situation. Every drug is different , even in the same class . One molecule difference will cause a different response. Sometimes how a patient responds will give me a clue as to how a patient will respond to other drug classes. One physician told me that the PharmDs are the Mr Spocks to the MDs' Capt Kirks. Interesting thing once happened; we had a neonate brought in by ambulance. Once stabilized, the child was to be air lifted to the nearest Children's hospital. Our team's job was to design and formulate IV fluids and change osmolality to adjust to the night's atmospheric pressure at the hight of the flight. We don't want the fluids' gas to expand too much in child's veins while in flight. To get all of the answers we used known tables, info from NOAA, the pilot's knowledge, and flight nurse's experience. This was just to make the end product. Before that, we had to figure how the child will metabolize the drugs and which class of drugs would work for that situation. For that we used grey matter software.
This is very interesting to me, but it gets very little coverage. In fact, I have difficulty finding much newer info on this topic than about 2011.
Yes, but will the Robot Pharmacist have as much tolerance as human Pharmacists in dealing with stupid questions such as: "Where is the restroom?"
10 years with only 282 views about the topic of robotic pharmaceutical industry in the making! School systems, what are you NOT doing?
@solidiquis1 Nothing. The video has someone say that the Pharmacist could use their "intellect" to make ensure the patient is taking the right drug at the right dose. The purpose of the machine is to prevent error.
Amazing
@LunchAnderson "science based medicine IS death by medicine". There is a fraction of pharmaceuticals that have very little side effects and that provide help so "people would not die". I understand your closeness to the industry has your mind focused just on mainly the chemical aspects/reactions dis ease.
Thats all great but who controls what patient should have what pill? I bet its not yet automated.
And why not gather several pills and put them in a "10 AM" bag? I've only seen 1 pill per bag, which generates loads of waste, unless you reuse them (both bags and stickers).
@DarthKap Yeah I agree that human error is not 100% gone. At least the human factor is gone when it comes to picking and counting the correct medication, updating the inventory, updating the system, and not infecting the medication with bacteria from your hands is gone. Personally, I use a lot of computer programs at my work, and computer really helps reduce mistakes.
I think UCSF is a private teaching hospital. Intelligent Hospital Systems is private company.
this is awesome @_________________@
This is very cool technology, and I can see the benefits, however you can never really eliminate human error. Also what about machine error? I'm sure they would have secured access to the robot, but imagine if it started prescribing viagra to people at random.
Woo-Hoo! Does this mean I eventually won't have to sit in the Walgreens drive-through for 20 minutes anymore? "How long can it take for her to find my prescription? I called it in yesterday! Hey, this isn't complete! Where's the rest of the prescription!?!?!"
@AnthTrinh Shes just ok
" ITS A TRAP!"
@Shalek 106,000 deaths/year from non-error, adverse effects of medications. How many doctors would be in practice if they actually assisted clients to become healthy ? When being schooled, do doctors study health and vitality or sickness and death ? How many medical schools are sponsored by big pharma? "studies should be carried out to make prescription/medication safer" is an understatement...ever heard of Sister Kinny or Dr Simoncini etc. Scientific reports are trumped by "medical" reports.
That is soooo cool!
can't counsel you though or answer questions~
there goes more jobs T_T
How many millions in research and development AND actual production costs for this thing? It will take 200 years to make the money back for the one person they laid off in exchange for this robot.
Go engineers! Did we just replace pharmacists? Pharmacy is soooo labor intensive....haha doctors watch out...biomedical engineering will replace you too!
@nanakeyks Sometimes I'd rather have Viagra than my Adderall. "Hey, instead of being less hyperactive, what if I'm just ready for some lovin'...BABY C'MERE! I think you need to call in sick today. Hells yes!!!"
Stay away from Dr. Erich Lemker he is an uncaring Doctor and his work is terrible.
It sucks ! What a disgusting invention !
why tho
LOL, how does this solve human error? A human has to program the dammed thing to begin with. :sigh: Goverment waste at its finest.
We double or triple check with control stations in the middle of the process, for example, using barcode readers, vision inspection and at the end, an operator (pharmacists) who will check and approve that everything is exactly what was requested.