WO2018075079A1 - Système de sécurité pour pharmacie - Google Patents

Système de sécurité pour pharmacie Download PDF

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Publication number
WO2018075079A1
WO2018075079A1 PCT/US2016/058349 US2016058349W WO2018075079A1 WO 2018075079 A1 WO2018075079 A1 WO 2018075079A1 US 2016058349 W US2016058349 W US 2016058349W WO 2018075079 A1 WO2018075079 A1 WO 2018075079A1
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WIPO (PCT)
Prior art keywords
worker
prescription order
pharmacy
computer system
medication
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Application number
PCT/US2016/058349
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English (en)
Inventor
Shelton Louie
Joseph Intile
Stephen A. GARRETT
Jeffrey Michael MOORE
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Gsl Solutions, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Gsl Solutions, Inc. filed Critical Gsl Solutions, Inc.
Priority to PCT/US2016/058349 priority Critical patent/WO2018075079A1/fr
Publication of WO2018075079A1 publication Critical patent/WO2018075079A1/fr

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management

Definitions

  • remote pharmacies to fill prescription orders of customers and patients and ship the filled prescriptions to the local retail pharmacy or healthcare facility for dispensing to the customer or patient.
  • remote, "central fill” ' pharmacies to fill prescription orders of customers and patients and ship the filled prescriptions to the local retail pharmacy or healthcare facility for dispensing to the customer or patient.
  • Some of these machines include automated verification systems, such as measuring t e weight of the filled prescription and comparing it to a predetermined weight and flagging an error If the detected weight differs from the predetermined weight.
  • automated visual detection systems such as cameras or the like that can physically count the number of pills dispensed and the appearance of the pills and compare those detected values with predetermined eritena and flag any discrepancies detected.
  • Exemplar automated filling system are shown in U.S. Pat. No, 8,275,481 to Rice et a!., U.S. Patent Application Serial No. 13/473,26? to Luciano, et at, and U.S. Patent Application Serial No. 13/325,782 to Rhoads, the disclosures of which are hereby Incorporated by reference. These automated verification systems have proven themselves to be accurate and reliable.
  • ODSJ In general., a licensed pharmacy technician or pharmacist is required to verify that a prescription for a customer has been properly filled. This verification usually includes verifying that the proper medication has been loaded into the correct locations within an automated filling machine, and that the proper amount of that medication has been placed in the container earmarked for the customer/patient, and that the customer's/patient's container i properly labeled. Labeling: includes Identifying information about th medication, quantity, how to take the medication contained therein and the customer/patient it Is intended for.
  • UDO information associated with it including its lot number, expiration date, pedigree code, National Drug Code (“NDC'% Drug Identification N mber (“DIM”), cost and pricing information, and the like. This information is provided by the manufacturer of the medication with the supply container. However, much of this information is lost for medication withdrawn from the supply containers.
  • DIM Unique Drug Identity
  • pharmacies will not stock certain medications, and instead order such medication from: the manufacturer as it receives an order for it by customers. This ordering process can take several days before th medication is available to be dispensed to a customer, thereby delaying when a customer can start treatment,
  • customer's supply of medication and that customer' payment for it can pass directl between the manufacturer or a third party owner of the medication and the customer without a dispensing pharmacy being held financially responsible as an "owner" of the supply of medication while under its control.
  • FIG. 1 is flow chart of an exemplar pharmacy filling system that uses a central fill pharmacy to fill the prescription order and a local pharmacy to dispense the prescription order to a customer or patient in accordance with an embodiment of the present Invention.
  • the automated filling machine is filled wit medications contained in bins that have been filied and verified by a pharmacist or licensed pharmacy technician at a third party location, such as a wholesaler, a pharmaceutical manufacturer, or a central fill location.
  • FIG. 2 is a flow chart of an exemplar pharmacy filling system that uses a local pharmacy or healthcare facility to fill the prescription orders by relying on a third party, such as a wholesaler OF pharmaceutical manufacturer, to provide bins filled with supply medications that have been filed and verified by a pharmacist or licensed pharmacy technician at the third party location.
  • a third party such as a wholesaler OF pharmaceutical manufacturer
  • FIG. 3 is a schematic diagram of an exemplar filling of an individual prescription order of customer from a stock supply of the prescribed medication showing the transfer from Unique Drug identifier UPF) information about the medication in the stock supply container to a computer readable tag that travels with the individual prescr ption order in accordance with a embodiment of the present invention.
  • a computer system uses the fag to track, monitor and locate the Individual prescription, correlate It with a customer, and maintain UDl information of the medication contained with the individual prescription.
  • FIG. 4 Is a schematic diagram of a exemplar "Return to Stock 1 ' comparison whereby the computer system compares the UDl of an individual prescription order that was not timely dispensed to a customer or patient to the U Dl of a suppl container and authorizes the return of the medication to the stock supply container only If the DDI's between them are identical.
  • FIG. 5 i a flow chart of an exemplar prescription order filling system with a computer system monitored and verified "return to stock" feature that minimizes medication loss while preserving UDl Integrity of the returned to stock medications,
  • FIG 6 is a schematic diagram of an exemplar flow path from a manufacturer or third party owner of a medication to a customer/patent that is dispensed to the customer/patient b a pharmacy that maintains a supply of the med ication to dispense to the customer/patient, but because of the tracking of U Dl , ownership, and pricing tracking by the tracking system, the pharmacy does not purchase or otherwise obtain ownership of the medication from the pharmacy.
  • FIG. 7 is a schematic diagram of an exemplar pharmacy system having a dual use storage compartment for securely storing both supply containers and filled prescription orders with security features to monitor and track access to items stored therein and monitor fraudulent dispensing. It also includes security systems such as a system for globally identifying all medications within the pharmacy subject to a status change such as a recall or the like, a real-time inventory module, a fraud module, and a receiver module,
  • a pharmacy filling system is shown in FIGS, 1-7.
  • a local pharmacy 10 or healthcare facility may use a central fill pharmacy 12 to assist with filling an individual prescription order 14 as shown in FIG. 1, or it may fill the prescription order 14 within the local or retail pharmacy 10 itself as shown in FIG. 2.
  • a prescription order 14 is usually a lawful written order prescribed to a patient by a practitioner for the quantity, strength, and dosage instructions of a given medication or device for the treatment of a condition of that patient.
  • a prescription order may also be more broadiy defined fay national or local governing authority, and that definition is also hereby Included herein.
  • FIGS 3-5 show an exemplar prescription medication dispensing system 20 to a customer or patent with a computer system 22 monitored and verified "return to stock" feature that minimizes medication Soss while preserving the Unique Drug Identifier CUDS') of medication that is returned to stock.
  • FIG 8 shows an exemplar use of the dispensing system's UDI, ownership, and pricing tracking to track the passing of ownership of the dispensed medication directly from the manufacturer to a
  • FIG, 7 shows possible security features that may be included with the system for ensuring actuate filling and dispensing of prescription orders, minimizing fraud and other losses, and maximizing available storage space.
  • an automated filling machine or system 30 is used to SI! the prescription orders 14,
  • the automated -filling system 30 is located at the centra! fill facility 12 in the embodiment of FIG. 1, and at the local pharmacy 10 or healthcare facility in the embodiment in FIG. 2.
  • the automated filling system 30 is stocked with medication supply bins 32 that have been filled and verified by a pharmacist and/or licensed pharmacy worker 49 at a remote location 34 such as a wholesaler or the medication manufacturer.
  • the local pharmac 10 or healthcare facility is preferably in electronic or computer
  • the supply bins 32 are sealed and tagged at the remote location 34, preferably with an electronic tag 50 such as a barcode, RF tag, RFID tag, GPS tag, or the like, that travels with each supply bin 32.
  • the tag 50 includes identifying
  • the tag 50 is in communication with a computer system 22 that includes one or more tag readers 52 that detect the presence of the tag to determine its location.
  • the computer system 22 includes a database that ma include detailed information about the medication contained within the supply bin 32 including its location as well as UD! information about the medication.
  • the tag 50 is a radio-frequency identification tag
  • RFID Unique Drug Identify fUDP
  • RFID Unique Drug Identify fUDP
  • Such information can include the lot number, expiration date, drug name, drug strength, pedigree number, fill date,
  • the sealed bins 32 are transported to their respective automated filling system 30. which Is either the central fill pharmacy 12 in the embodiment of FIG, 1 , o the local pharmacy/health care facility 10 In the embodiment of FIG, 2, A local worker
  • the computer system 22 automatically verifies that the correct bin 32 has been placed in the correct location within the automated filling system 30 without requiring a local licensed pharmacy worker or pharmacists to verify the contents of the bin 32 or its proper location within the automated filling machine 30,
  • the supply bins 32 and the prescription orders 14 are tagged with electronic machine readable tags 50 that monitor and track their location within the pharmacy and include information about the prescription orders and/or supply bin contents (e.g. UPl's) as needed,
  • the automated filling machine 30 may include standard automated filling verification systems 60 such as weight verification, ab l verification, pill count verification, video comparison of the pills to an image of the pill in a standard catalog of pills, and the like. These verification systems 80 verify that the automated " filling machine 30 properly placed the correct medication and the correct amount of that medication Into a container that has been properly labeled for a particular customer or patient. Should these systems detect discrepancy, the system alerts & pharmacy worker of any discrepancies where that particular prescription order 14 Is pulled from the system and manually inspected and corrected by a pharmacy worker before It is released to a customer or patient,
  • standard automated filling verification systems 60 such as weight verification, ab l verification, pill count verification, video comparison of the pills to an image of the pill in a standard catalog of pills, and the like.
  • These verification systems 80 verify that the automated " filling machine 30 properly placed the correct medication and the correct amount of that medication Into a container that has been properly labeled for a particular customer or patient. Should these systems detect discrep
  • the downstream automated monitoring, testing, tracking and verification performed by the computer system 22 maintains the integrity of th supply bins 32 and the resulting filled prescription orders 14,
  • trie filling system can include additional inspection stations along the filling path as needed to comply with local pharmacy dispensing regulations. For example, if a prescription order 14 is new, and calls for new prescription handling or patient counseling, a registered pharmacy worker and/or pharmacist' 51 can be called n to verify that particular order and counsel the customer or patient. Refilled orders can pass this step saving licensed pharmacy worker's and pharmacist's time.
  • the pharmacist or licensed pharmac worker 49 at a remote location 34 and/or the pharmacists or licensed pharmacy worker 51 at the local pharmacy 10 each wear a tag 50 that is in communication with the computer system 22. This allows for the computer system 22 to monitor, track and document which workers performed which tasks related to both the supply bins 32 and individual prescription orders 14
  • the computer system 22 can monitor and track the Unique Drug Identifier fUDf) information about the medication in each supply container .33 within the system, such as lot number, manufacturer date, expiration date, drug name, drug strength, pedigree number, National Drug Code (“NDC”), Drug Identification Number (“DIN”), cost and pricing information, and the like.
  • the supply container 33 may be from a previously packaged bi 32 or a separate container that arrived at th pharmacy by other methods, As shown in FIG, 3, this UDI information can be transferred to each individual prescription order 14 when medication from that supply container 33 Is transferred to an individual prescription order 14.
  • the supply container ca include a first machine readable tag 50a that Is readable by a fag reader 52 in communication with a computer system
  • a second machine readable tag 50b can be operably secured to the individual prescription order 14,
  • the first tag 50a can include UDI information about the medication contained in th supply container 33 including the remaining volume or number of pills contained therein.
  • the computer system 22 can detect this activity and associate the individual prescription order 14 of that tagged Individual prescription containe to a customer or patent's prescription order.
  • the computer system can transfer the resulting UDI information of the supply container 33 to the ' tag 50b associated with the individual prescription order 14. This UDI information from the supply container 33 travels with the individual prescription orde 14 to a storage area 55 until that order is dispensed to a customer or patient.
  • the storage area 55 includes one or more tag readers 52 and transducers 250 in communication with the computer system .22 that operate as further described herein.
  • the system can track and store the UDI information about the returned medication, thereby allowing it to be re-dispensed without risk of i becoming expired or without knowing its exact pedigree.
  • the computer system 22 ca read the tag 50b associated with the returned prescription order 14 and the tag 50a associated with the supply container 33 and compare the UDI's of each. If key items of UDS's are identical, such as lot number, expiration date, NOG and pedigree number, the returned medication can be placed back Into the supply container 33 without compromising the integrity of the supply container 33 as shown by arrow 72 in FIG. 4,
  • the system can activate one or more transducers if the transfer of the returned:
  • the returned medication can remain within the storage area for use to fill a new prescription order as shown by arrow 74 in FIG. 4.
  • the computer system 22 can alert a pharmacy worker whether to use medication from the returned prescription order or from the supply container.
  • step SO a new indlvldoa! prescription order is provided to th pharmacy.
  • the pharmacy first determines if there are qualifying returned to stock medications availabl to t ll the new prescription order (Step 92) .
  • the system next determines if there is enough of the returned to stock med ication to fill the new prescription order (Step 94) and if there is the new prescription order is filled with from the returned to stock supply (Step 90), In cases where the supply of returned medication is greater han the amount dispensed to the new Individual prescription order the computer system may update the volume or quantity of medication In the returned to stock supply as medication is dispensed to fill the new prescription order.
  • the system directs a pharmacy worker or an automated fill system to fill the ne prescription order from the main stock supply container of the prescribed medication (Step 98).
  • the computer system transfers the UDI information of the source supply to the computer readable fag associated with the individual prescription order (Ste 100). More preferably, the computer system also monitors and tracks the volume or pill count in both the supply container and the volume or number of pills placed in the container of the individual prescription, for example, if consults the database associated with thai customer/patient and determines the numbe of pills prescribed and deducts that amount from the selected supply container and adds them: to the filled individual prescription order,
  • the filled individual prescription order is then stored for dispensing to a customer or patient (Step 102), and a e-loek is initiated to track how long the individual prescription order remains in the storage area.
  • the individual prescription is stored in an area that is in communication with the computer system 22 to
  • the UD! and other information can he stored I a database for further reference or
  • the system can flag the discrepancy to a pharmacy worker, such as by activating a transducer on the tag associated with that prescription order, who can correct the situation before the customer seeks to pick u the medication or before it is dispensed to a patient (step 111 ),
  • the computer syste 22. can further prevent dispensing of an expired medication to a patient or customer by taking additional security steps such as calling for a pharmacist override before it will unlock or locate the prescription order for the pharmacy worker, or by activating an audible warning alarm or the like.
  • the computer system can also update the UD! information of the individual prescription order 14 and the supply container 33 with a user entered or pharmacy pre-selected configurable date.
  • this configurable date is earlier than the expiration date of the medication contained in the respective individual prescription order 14 and supply container 33, and it Is selected to give a patient or customer a reasonable time to use the medication before it will expire.
  • the previously described flagging and warning system for expired medications could also be activated upon reaching this configurable date, thereby preventing the dispensing of medications that do not have a reasonable time to be used before they expire.
  • th electronic tracking of pedigree information of medications i the supply container also allows the pharmacy to dispense medications that are closer to their expiration dates first, and avoid dispensing medications that are too close to their expiration dates to be meaningfully used by a customer or patient before they expire. Using the oldest inventory first and avoiding disposing of expired or nearly expired medications with this system also saves money for the pharmacy.
  • [0051 ' JT ' e computer system first compares the UDI information of each individual prescription order with the UDI information of the supply container for that particular medication (step 114). If the UDI information is the same, the medication contained within the individual supply container can be returned to the supply container (step 116). The pill count or volume of medication in the individual
  • prescription order returned to the supply container can be automatically added by the computer system to the UDi information of the supply container.
  • the returned to stock medication can be stored and tracked for further use (step 118 ⁇ as previously described.
  • the worker may choose to store separately even if the UDI ' s match to sav time.
  • step 94 if there is not a sufficient amount of medication in a returned to stock supply of medication, a; pharmacy may fill only a partial amount of a individual prescription order from the ⁇ returned to stock supply. If it does this, it ca pull the remaining supply from the main stock of the medication supply . If it combines
  • the UDI information of that container is compromised . Accordingly, the computer system will track this individual prescription order to ensure that it is not returned to stock for reuse.
  • the pharmacy may provide two individual containers, each with an individual machine readable fag and each containing the UDI information of the supply source torn which it was filled. In such case, the medication contained within each individual container may be returned to stock as previously described while maintaining UDI Integrity of all the medications.
  • the storage area 55 (FIG. 3 ⁇ for filled prescription orders 14 needs to be spaced apart from the storage area of the supply containers.
  • the "return to stock" function can be purely electronic, whereby the computer system simply reclassifies that that individual prescription order as being returned to stock medication without that item actually being moved.
  • an customer identifying labeling information would stiii need to be removed before the returned item could be dispensed to a new customer.
  • ownership and pricing information a particular customer's 204 prescription order 14 allows ownership of a particular prescription order 14 to pass directly from the manufacturer or third party owner 200 of the medication to th customer/patient 204 upon the dispensing! of the medication from a pharmacy 202 to the patent.
  • the pharmacy may maintain a supply 33 of a medication while the manufacturer or third party owner 200 of that medication maintains ownership of it until it is dispensed to a customer/patient. This prevents the pharmacy from having to purchase and then resell a particular
  • a manufacturer may supply pharmacies with high cost medications to dispense without the pharmacy incurring the financial burden of pre-paying for the supply of medication before it Is ordered or dispensed to a customer/patient.
  • the sale of individual prescription orders from that supply of medication trigger the transfer of ownership of that prescription order's medication to the customer and payment of that medicaiion of the manufacturer or third party owner of the medication.
  • the system can monitor the status of the insurance transaction between the pharmacy and patent, and temporarily transfer ownership, of a particular
  • the insurer and pharmacy can establish a protocol for returning ownershi back to the manufacturer or third party owner should the customer fail to pick up the prescription order within a predetermined period. Thereby, allowing ownershi of the prescription order to transfer back to the manufacturer or third-party owner without it ever being owned by the pharmacy,
  • a fraud module 302 which may be software provided in the system, that evaluates the collected UOi data associated with filling a prescription order14 and alerts one or mor key employees with an alerting system if predetermined discrepancy is detected. For example, because the collected data includes and stores the identity of each worker 51 , 352, 354 who has had access to a particular supply containe 33 of a medication, it can monitor how much of a particular medication Is being dispensed by each worker within the pharmacy. If a particular worker dispenses an unusuall large amount of a particular medication, the fraud module 302 can activate the alerting system 308 to alert the management or other key employees of t e discrepancy.
  • a fraud module 302 which may be software provided in the system, that evaluates the collected UOi data associated with filling a prescription order14 and alerts one or mor key employees with an alerting system if predetermined discrepancy is detected. For example, because the collected data includes and stores the identity of each worker 51 , 352, 354 who has
  • the system can "lock out” that employee from gaining future access to that supply of medication or even all medications- until the discrepancy is cleared by the key employee or management.
  • the predetermined criteri for the fraud module to activate the alerting system can be preset amounts of a particular medication dispensed within a certain amount of time by one worker or by all workers within the pharmacy.
  • the preset amounts can be manually entered by the key employee or management through an input device 304 in communication with the system.
  • the system 22 can monitor the
  • dispensing rates of medications over predetermined timeframe to establish historical consumption data and activate the alerting system 308 when the dispensing of a particular medication exceeds this historical dat by a predetermined amount. For example, if the system determines that the pharmacy usually dispenses 100 units of a particular medication per day, it can activate the alerting system if it detects that 125 or more units have been dispensed in a day. This tracking can be covert, in that the pharmacy workers dispensing the medications do not know the are being monitored for this activity, or overt, where the workers know this tracking exists thereby deterring them from engaging in these types of improper dispensing activities.
  • a status change module 310 in communication with the computer system may also be provided.
  • the dispensing status of a medication may change.
  • a particular supply of medication from the manufacturer ma be found contaminated or otherwise unsuitable for dispensing.
  • the manufacturer will issue a recall notice to pharmacies. That notice will typically be limited to ' a medications with a specific UDI lot number or the like,
  • the status change module 310 can automatically detect and identify any medications subject to a recall or the tike, For example, if a particular lot number of a particular medication is recalled, the status change modul can enter that lot number and medication name into the system to activate transducers 250 associated with all affected medications within the system,
  • the status change module 310 can receive notice of medications subject to a status change from a variety of sources, A worker 51 can manually enter medication and lot numbers into the system through the input output device 304 in communication with the system. Alternatively or in addition, the status change module can be in continuous communication with an auxiliary sourc such as a national medication recall database or databases provided by the medication manufacturers thereby providing real-time notice and response to quickly prevent dispensing of affected medications, [006$! to addition, the alerting system 308 can include customer or patient contact information such as their phone numbers, email addresses and/or their mailing addresses.
  • the alerting system can be activated to notify that customer or patient as soon as possible by common means suc as sending an email, text message or causing a pharmacy worker to call the customer or patient with this information.
  • the ' storage area 55 may be a storage compartment or cabinet 57 that is adapted to hold both supply containers 33 and filled prescription orders 14 within It, but without compromising security or providing unauthorized access of either product.
  • the cabinet 57 can have limited access and a security system that limits that access.
  • the storage area in the compartment can be inside a loekable drawer 202, A plurality of independently operably lockab!e drawers may be provided in the same frame. The lock for that drawer is in communication with the computer system 22, and opened by the computer system only when it detects and verifies the identity of a particular worker who is seeking access to a supply container or filled prescription order received therein,
  • the compartment includes one or more tag readers 52 that automatically detect the presence of tags 50 on both supply containers 33 and filled prescription orders 14 within the system. It can activate transducers 250 on both the exterior of the cabinet drawer and on the shelf adjacent to the supply container 33 or tilled
  • prescription order 14 Thereby alerting a particular worker 354 to the exact location where the desired suppl container 3.3 or filled prescription order 14 is located.
  • the system 22 can defect the removal of a supply container or filled prescription order from the compartment and compare the removed item against the desired item being: sought by the worker 364. Should -a worker inadvertently select the wrong item from the cabinet, the alerting system 303 will alert the worker 354 and management 352 of the discrepancy. Accordingly, pharmacy workers filling
  • prescnptson orders from supply containers 333 and those dispensing filled prescription orders 14 to customers and patients may use the same storage compartment 57 while maintaining control of items received therein.
  • That compartment is determined from a tag 50 worn or held by the worker.
  • That tag is preferably an RFID tag, but alternative machine readable tags could be used including bar codes or the like.
  • Alternative forms of identification of the worker can fee used too.
  • keypad entry and/or hiomeific data such as fingerprint detectors and/or retinal ey scanners and the like could be used..
  • th preferred system 22 monitors and tracks the real-time location of supply containers and filled prescription orders by tag readers detecting the physical location of these items at predetermined locations within the pharmacy. Accordingly, the computer system updates its database wth this information in response to the worker's choice a to where to put a particular item rather than the system first telling a worker wher to put an item and assuming that worker has actuall complied with thai instruction. This allows supply containers 33 and filled prescription order 14 to be placed anywhere within the pharmacy and in the storage compartment and still fee easily located as needed.
  • a real-time manifest of current medications with the pharmacy can be provided,
  • a receive module 308 may be provided to the system 22 that allows a supply shipment received by the pharmacy to be instantly compared to a manifest to determine if any discrepancies exist.
  • the contents of a supply shipmen may include numerous: supply containers of different medications. At the pharmacy, each supply container within the shipment may be assigned an individual tag and the UDI information, including quantity, associated with the medication contained in the respective supply container is associated with the fag 50.
  • the receive module 308 can compare the original manifest of the supply shipment with the individual tags associated with each individual supply container and note any discrepancies between the manifest and the tagged individual supply containers. This minimizes risk of items received within a bulk supply shipment from inadvertently or intentionally failing to be entered into the system by a worker upon receipt at the pharmacy. If the received quantify matches the manifest quantity for that freight order then the system can automatically
  • a real-time inventory module 312 may be provided that uses the collected data and tracking of the system allow for the system 22 to provide a realtime inventory of available supply containers and their medications stored therein.
  • the inventory module 312 may include a input-output device 304 that allows pharmacy workers to request inventory information, and/or predetermined minirnu s ma be entered into th system to alert the pharmacy workers should a particular medication fail below a predetermined minimum amount. If desired ; the system can be provided to automatically re-order supplies that fall below these predetermined limits.
  • a real-time and accurate report can be generated and logged to comply with physical count requirements of national, state and/or local authorities and laws.
  • the collected data and tracking system may also be used to create and maintain a perpetual data log of key transactions and processes. For example, in one embodiment when a pharmacy worker may decide to fill a prescription order, he or she can scan a prescription barcode on the label attached to the prescription order.
  • the computer system knows the DDI's, such as National Drug Code (NDC), and the quantity of the desired medication to be filled with that prescription order,
  • NDC National Drug Code
  • the computer system 22 can compare the prescription order's NDG to what is available in supply containers In the cabinet, and if there is a exact match, it can direct them to one or more supply containers with that DC and to enough quantit as more than one supply container may be needed. Preferably, the system would direct the worker to the oldest matching NDC first plus any returned to stock product with matching UDPs, [0079]
  • the system 22 can alert, the worker 354 by activating transducers 250 such as lights positioned on the exterior and interior portions of the cabinet adjacent to the desired supply containers). The lights on the cabinet drawer lights up where the desired supply containers are located. When the worker identifies themselves to the computer system at the Identified drawer, the lock will unlock and the known user can access/ope the drawer. Then, the ceil or cells lights u with the desired suppl containers. This way the system can electronically verify that the correct UDI is picked. The system logs accuracy and
  • the system Since the system knows what prescription order this transaction was for, and the system also knows the quantity of the medication to the removed from the supply container to f ll that prescription order, the system automatically, decrements and stores in memory that number from collected data of the supply container used to the fill the prescription order. Accordingly, the system uses this Information to maintain a current log of the quantity of medication remaining in the supply container used to fill the prescription order.
  • the system 22 can require the worker 51 to manually count the remaining medication in the supply container used to fill the prescription order and manually enter that quantity into the system though a user interface, i the quantity manually entered by th worker matches the system's self-maintained current log of quantity of medication remaining; in that supply container the system will
  • the system can unlock the cabinet upon determining the identify of the worker seeking entry and remove the "cheek-ouf of that supply container to the worker, and verify that the supply container has indeed been returned to the cabinet.
  • the system 22 determines there is discrepancy, th worker must have a pharmacist or other authorized management personnel with higher authority adjust the inventory in the system: so that the manual count matches the system' count, and the user can then put the supply container back into the cabinet as previously described.
  • the system can therefore identify which workers a e historically requiring an inventory adjustment and thereby prevent and/or monitor for fraudulent transactions by those workers.
  • the system 22 can also look to see if a tag 50 associated with the filled prescription order 14 is linked (coupled) to the transaction and alert a worker 362 if the filled prescription order is not promptly located and accounted for by the system.
  • the filled prescription order 14 may be returned to the same cabinet as the supply container 33 thereby maximizing available storage space within the pharmacy.
  • the system can mandate that this linked prescription order be checked by an additional worker such as a pharmacist before it goes into the cabinet.
  • the system does this by requiring a "double count" where the additional worke double counts what is in the filled prescription order's vial, enters this into the system and if it matches, is authorized to put this filled prescription orde into the cabinet(s) for customer pick up later. Should another (non-pharmacist or user without privilege) put this basket into the cabinet, the system will generate an error and alert the pharmacy workers.
  • the system 22 can have a sense of "roles" within the pharmacy, it can be equi ped to provide increasing access privileges to the cabinet based on the roll assigned to each worker. For example, a technician 51 may be allowed to access supply containers 33, including stock storage containers and the like, but a clerk 354 may only be able to access a filled prescription order 14. Because the system monitors and tracks the Identify of each worker gaining access to the cabinet, and can differentiated between supply containers 33 and filled prescription orders 14 within it, it can be provided with predetermined rules to limit access to particular items within the system.
  • the system would verify that the person doing the last count (double count) be the same person to put away into our cabinet. If not the system can generate an error and a!ert the pharmacy workers,
  • the last worker to have touched a particular supply container, bulk shipment or filled prescription order can be determined, and the amount of time It takes a particular pharmacy worker to perform a particular task can be determined.
  • the data contained in this database can be stored Indefinitely for futore reference and analysis as needed, thereby Improving accountability.

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  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

La présente invention concerne un système de suivi automatisé pour une pharmacie qui conserve un identifiant de médicament unique (« UDI ») de chaque médicament du contenant de stock dans des ordonnances médicales individuelles remplies à partir du contenant de stock et constitue un système de sécurité permettant de déterminer une divergence associée au remplissage d'une ordonnance médicale. Les informations UDI circulent automatiquement avec chaque prescription individuelle jusqu'à ce qu'elle soit délivrée à un client ou à un patient, permettant ainsi au système de surveiller et de suivre les contenants de stock et les ordonnances médicales individuelles par rapport à des transactions incorrectes ou potentiellement frauduleuses. Au besoin, la sécurité améliorée permet de stocker les contenants de stock et les ordonnances médicales individuelles dans la même zone de stockage, ce qui maximise l'espace de stockage disponible tout en améliorant encore la précision de la distribution et de remplissage et réduit la perte à un minimum.
PCT/US2016/058349 2016-10-22 2016-10-22 Système de sécurité pour pharmacie WO2018075079A1 (fr)

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CN109659003A (zh) * 2018-12-05 2019-04-19 苏州大学附属第医院 药品流通方法及系统
WO2021188921A1 (fr) * 2020-03-19 2021-09-23 Carefusion 303, Inc. Système de gestion de flux de travail

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US7448544B1 (en) * 2000-11-16 2008-11-11 Gsl Solutions, Inc. Tracking system for individual detection of prescription orders contained within a bulk container
US7747477B1 (en) * 2000-11-16 2010-06-29 Gsl Solutions, Inc. Pharmacy supply tracking and storage system
US20130092700A1 (en) * 2011-08-01 2013-04-18 Zachary Leonid Braunstein Optimization of Pharmacy Operations using Automatic Distributed Vending System
US20140236609A1 (en) * 2000-11-16 2014-08-21 Gsl Solutions, Inc. Pharmacy tracking system with automatically-entered customer transaction information
US20150262718A1 (en) * 2001-08-18 2015-09-17 Gsl Solutions, Inc. Storage system for pharmacy

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* Cited by examiner, † Cited by third party
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US7448544B1 (en) * 2000-11-16 2008-11-11 Gsl Solutions, Inc. Tracking system for individual detection of prescription orders contained within a bulk container
US7747477B1 (en) * 2000-11-16 2010-06-29 Gsl Solutions, Inc. Pharmacy supply tracking and storage system
US20140236609A1 (en) * 2000-11-16 2014-08-21 Gsl Solutions, Inc. Pharmacy tracking system with automatically-entered customer transaction information
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US20130092700A1 (en) * 2011-08-01 2013-04-18 Zachary Leonid Braunstein Optimization of Pharmacy Operations using Automatic Distributed Vending System

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109659003A (zh) * 2018-12-05 2019-04-19 苏州大学附属第医院 药品流通方法及系统
WO2021188921A1 (fr) * 2020-03-19 2021-09-23 Carefusion 303, Inc. Système de gestion de flux de travail
GB2610489A (en) * 2020-03-19 2023-03-08 Carefusion 303 Inc IV workflow management system

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