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Implementing a Tech-Check-Tech Program at a University Health System.

Scott A Tarver, Javier Palacios, Reed Hall

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    This summary is machine-generated.

    Implementing Tech-Check-Tech (TCT) significantly reduced medication processing times in a hospital pharmacy. This pharmacy technician-led final check improved efficiency and reduced pharmacist verification time for medication orders.

    Keywords:
    Tech-Check-Techhospitalinterventionsorder verificationpharmacistspharmacy technicians

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    Area of Science:

    • Pharmacy Practice
    • Health Services Research
    • Medication Safety

    Background:

    • Tech-Check-Tech (TCT) involves pharmacy technicians performing final medication checks.
    • The impact of TCT on hospital pharmacy workflow efficiency was previously undocumented.
    • This study addresses the need to evaluate TCT's effect on medication processing times.

    Purpose of the Study:

    • To assess the impact of a TCT program on medication processing times.
    • To evaluate changes in medication preparation, checking, and delivery to automated medication supply systems (AMSS).
    • To analyze the effect of TCT on pharmacist time allocation for order verification.

    Main Methods:

    • A comparative study design, contrasting pre- and post-TCT implementation periods (45 days each).
    • Primary outcome: Mean total time for AMSS medication processing.
    • Secondary outcome: Median pharmacist verification times for stat and routine orders via CPOE.

    Main Results:

    • Mean AMSS medication processing time decreased from 24.16 to 16.79 hours post-TCT (7.37-hour reduction; p < 0.0001).
    • Median verification time for stat orders reduced from 5 to 4 minutes (p < 0.0001).
    • Median verification time for routine orders decreased from 12 to 7 minutes (p < 0.0001).

    Conclusions:

    • TCT implementation significantly decreased the total time for processing AMSS medications.
    • Pharmacist time spent verifying medication orders was also substantially reduced.
    • TCT is an effective strategy for enhancing efficiency in hospital pharmacy operations.