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Updated: Jun 22, 2026
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Telepharmacy and bar-code technology in an i.v. chemotherapy admixture area
Brian C O'Neal1, John C Worden, Rick J Couldry
1Department of Pharmacy, University of Kansas Hospital, Kansas City, KS 66160, USA.
Summary
Telepharmacy and bar-code technology enhance chemotherapy preparation accuracy. This system improves medication safety by verifying correct product and quantity remotely, reducing errors.
Area of Science:
- Pharmacy practice
- Health informatics
- Chemotherapy administration
Background:
- Chemotherapy preparation is a high-risk process with potential for medication errors.
- Ensuring pharmacist oversight at critical preparation steps is challenging.
Purpose of the Study:
- To describe a telepharmacy and bar-code system designed to increase pharmacist presence during chemotherapy preparation.
- To enhance the accuracy and safety of compounded sterile preparations.
Main Methods:
- Implemented telepharmacy with an inspection camera in a biological safety cabinet.
- Utilized bar-code scanning and digital photography at multiple preparation stages.
- Enabled remote pharmacist verification of medication vials, labels, and preparation steps.
Main Results:
- The system allows pharmacists to verify correct medication and quantity without direct physical presence.
- Digital imaging and bar-code scanning reduce the likelihood of using incorrect products or dosages.
- Minimizes pharmacist handling of potentially contaminated syringes and vials.
Conclusions:
- Telepharmacy and bar-code technology significantly improve chemotherapy preparation accuracy.
- This integrated system enhances patient safety by reducing medication errors.
- The technology facilitates remote pharmacist oversight, optimizing resource allocation.
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