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Remote dispensing is used in health care environments to describe the use of automated systems to dispense (package and label) prescription medications without an on-site pharmacist. This practice is most common in long-term care facilities and correctional institutions that do not find it practical to operate a full-service in-house pharmacy. [ citation needed ]
Remote dispensing can also be used to describe the pharmacist controlled remote prescription dispensing units which connect patients to a remotely located pharmacist over video interface to receive counseling and medication dispensing. Because these units are pharmacist controlled, the units can be located outside of typical healthcare settings such as employer sites, universities and remote locations, thus offering pharmacy services where they have previously never existed before.
A typical remote-dispensing system is monitored remotely by a central pharmacy and includes secure, automated medication dispensing hardware that is capable of producing patient-specific packages of medications on demand. The secure medication dispensing unit is placed on-site at the care facility or non-healthcare locations (such as Universities, workplaces and retail locations) and filled with pharmacist-checked medication canisters. [ citation needed ]
When patient medications are needed, the orders are submitted to a pharmacist at the central pharmacy, the pharmacist reviews the orders and, when approved, the medications are subsequently dispensed from the on-site dispensing unit at the remote care facility. Medications come out of the dispensing machine printed with the patient’s name, medication name, and other relevant information.
If the medication stock in a canister is low, the central pharmacy is alerted to fill a canister from their bulk stock. New canisters are filled, checked by the pharmacist, security sealed, and delivered to the remote care facility.
In theory, access to dispensing services 24 hours a day in locations previously unable to support full pharmacy operations. Advocates for remote dispensing additionally claim that the service provides focused, uninterrupted and personalized time with a pharmacist as the system manages the physical dispensing process while the pharmacist simply oversees it. Certain prescription dispensing units can carry over 2000 different medications [ citation needed ] tailored to the prescribing habits of local healthcare providers. Furthermore, remote dispensing terminal manufacturers state that this technology can facilitate patient continuity of care between prescriber and pharmacist. [ citation needed ]
While some may purport that travel time to pharmacies is reduced, this point has been negated by an Ontarian study published in the journal Healthcare Policy as over 90% of Ontarians live within a 5 km radius of a pharmacy. [1]
Remote dispensing also places a physical barrier between the patient and pharmacist, limiting the pharmacist's ability to detect a patient's nonverbal cues. A patient with alcohol on his or her breath would go undetected via remote dispensing, increasing the risk for dangerous interactions with drugs such as tranquilizers, sleeping pills, narcotics, and warfarin to name a few. This problem may be amplified through telecommunication service disruptions, which were reported in previous studies examining the utility of remote dispensing technology. [2]
Remote dispensing has the potential to undermine the services offered by physically present pharmacists. Hands-on patient training on inhalers and glucose meters is not feasible with remote dispensing, and administration of injections is impossible without a physically present pharmacist. Other cognitive services such as in-depth medication consultations are also impractical to conduct over such audiovisual technology, which do not provide acoustic privacy for the patient, nor do they meet mandatory criteria for conducting such services that require an “in-person discussion” to occur. [3] Furthermore, the variety of drugs offered by remote dispensing is limited in comparison to traditional pharmacies, which in the province of Ontario are required to maintain a dispensary of at least 9.3 m2 in area, far greater than that of any remote dispensing machine. [4]
Over-the-counter (OTC) drugs are medicines sold directly to a consumer without a requirement for a prescription from a healthcare professional, as opposed to prescription drugs, which may be supplied only to consumers possessing a valid prescription. In many countries, OTC drugs are selected by a regulatory agency to ensure that they contain ingredients that are safe and effective when used without a physician's care. OTC drugs are usually regulated according to their active pharmaceutical ingredient (API) rather than final products. By regulating APIs instead of specific drug formulations, governments allow manufacturers the freedom to formulate ingredients, or combinations of ingredients, into proprietary mixtures.
A pharmacist, also known as a chemist or a druggist, is a healthcare professional who prepares, controls, formulates, preserves, distributes medicines and advises and guides the public on the correct use of medicines to achieve maximum benefit, minimal side effects and to avoid drug interactions. They also serve as primary care providers in the community. Pharmacists undergo university or graduate-level education to understand the biochemical mechanisms and actions of drugs, drug uses, therapeutic roles, side effects, potential drug interactions, and monitoring parameters. This is mated to anatomy, physiology, and pathophysiology. Pharmacists interpret and communicate this specialized knowledge to patients, physicians, and other health care providers.
Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. It is a miscellaneous science as it links health sciences with pharmaceutical sciences and natural sciences. The professional practice is becoming more clinically oriented as most of the drugs are now manufactured by pharmaceutical industries. Based on the setting, pharmacy practice is either classified as community or institutional pharmacy. Providing direct patient care in the community of institutional pharmacies is considered clinical pharmacy.
A prescription, often abbreviated ℞ or Rx, is a formal communication from a physician or other registered health-care professional to a pharmacist, authorizing them to dispense a specific prescription drug for a specific patient. Historically, it was a physician's instruction to an apothecary listing the materials to be compounded into a treatment—the symbol ℞ comes from the first word of a medieval prescription, Latin: Recipere, that gave the list of the materials to be compounded.
A prescription drug is a pharmaceutical drug that legally requires a medical prescription to be dispensed. In contrast, over-the-counter drugs can be obtained without a prescription. The reason for this difference in substance control is the potential scope of misuse, from drug abuse to practicing medicine without a license and without sufficient education. Different jurisdictions have different definitions of what constitutes a prescription drug.
IntercomPlus is the Walgreen Company's proprietary pharmacy computer system. It was founded as Intercom in 1981, and was the first large scale retail pharmacy computer system. It relies on VSAT satellite access and/or broadband connections to link the over 8,000 Walgreens retail, mail service, and specialty pharmacies. Through its usage, Intercom made Walgreens the largest private user of satellite transmission data in the world, second only to the U.S. Government. The design of the system enables seamless store-to-store prescription filling, making filling a refill at a location other than where it was filled originally essentially no different from filling it again at the original location.
A dispensary is an office in a school, hospital, industrial plant, or other organization that dispenses medications, medical supplies, and in some cases even medical and dental treatment. In a traditional dispensary set-up, a pharmacist dispenses medication per the prescription or order form. The English term originated from the medieval Latin noun dispensaria and is cognate with the Latin verb dispensare, 'to distribute'.
Pharmaceutical policy is a branch of health policy that deals with the development, provision and use of medications within a health care system. It embraces drugs, biologics, vaccines and natural health products.
A veterinary pharmacist is a specially trained pharmacist who dispenses veterinary drugs and supplies or products and advice to owners of companion animals and livestock. In addition, they advise the regulatory bodies and are involved in the formulation of veterinary drugs. Veterinary pharmacy is a field of pharmacy practice, in which veterinary pharmacists may compound medications, fill prescriptions, and manage drug therapies for animals. Veterinary pharmacists are licensed pharmacists who specialize in the distribution of medications for animals.
Clinical pharmacy is the branch of pharmacy in which clinical pharmacists provide direct patient care that optimizes the use of medication and promotes health, wellness, and disease prevention. Clinical pharmacists care for patients in all health care settings but the clinical pharmacy movement initially began inside hospitals and clinics. Clinical pharmacists often work in collaboration with physicians, physician assistants, nurse practitioners, and other healthcare professionals. Clinical pharmacists can enter into a formal collaborative practice agreement with another healthcare provider, generally one or more physicians, that allows pharmacists to prescribe medications and order laboratory tests.
A pharmacy is a retail shop which provides pharmaceutical drugs, among other products. At the pharmacy, a pharmacist oversees the fulfillment of medical prescriptions and is available to counsel patients about prescription and over-the-counter drugs or about health problems and wellness issues. A typical pharmacy would be in the commercial area of a community.
Electronic prescription is the computer-based electronic generation, transmission, and filling of a medical prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician, physician assistant, pharmacist, or nurse practitioner to use digital prescription software to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. It outlines the ability to send error-free, accurate, and understandable prescriptions electronically from the healthcare provider to the pharmacy. E-prescribing is meant to reduce the risks associated with traditional prescription script writing. It is also one of the major reasons for the push for electronic medical records. By sharing medical prescription information, e-prescribing seeks to connect the patient's team of healthcare providers to facilitate knowledgeable decision making.
Automatic Generic Substitution is a proposal by the Department of Health (DH) whereby in January 2010 pharmacists could be obliged to substitute a generic version of a medication even if the prescriber had written the prescription for a specific brand, as part of a new deal on drug pricing.
Pharmacy automation involves the mechanical processes of handling and distributing medications. Any pharmacy task may be involved, including counting small objects ; measuring and mixing powders and liquids for compounding; tracking and updating customer information in databases ; and inventory management. This article focuses on the changes that have taken place in the local, or community pharmacy since the 1960s.
An automated dispensing cabinet (ADC) is a computerized medicine cabinet for hospitals and healthcare settings. ADCs allow medications to be stored and dispensed near the point of care while controlling and tracking drug distribution. They also are called unit-based cabinets (UBCs), automated dispensing devices (ADDs), automated distribution cabinets or automated dispensing machines (ADMs).
There are approximately 88,000 pharmacies in the United States. Over half are located within drug stores, grocery stores, hospitals, department stores, medical clinics, surgery clinics, universities, nursing homes, prisons, and other facilities. The remaining pharmacies are considered to be independent or privately owned. The top 25 pharmacy chain stores represent about 38,000 pharmacy locations in the U.S. and employ about 149,000 on-staff pharmacists. California has 8,015 pharmacies, the most of any state. Texas, Florida, New York, and Pennsylvania round out the top five states for pharmacy locations. Nationwide, the number of community pharmacies increased by 6.3% between 2007-2015, and the number of pharmacies per 10,000 people (2.11) did not change. However, the number of pharmacies per-capita varies substantially across counties, ranging from 0 to 13.6 per- 10,000 people in 2015.
Electronic Prescriptions for Controlled Substances (EPCS) was originally a proposal for the DEA to revise its regulations to provide practitioners with the option of writing electronic prescriptions for controlled substances. These regulations would also permit pharmacies to receive, dispense, and archive these electronic prescriptions. These proposed regulations would be an addition to, not a replacement of, the existing rule.
Telepharmacy is the delivery of pharmaceutical care via telecommunications to patients in locations where they may not have direct contact with a pharmacist. It is an instance of the wider phenomenon of telemedicine, as implemented in the field of pharmacy. Telepharmacy services include drug therapy monitoring, patient counseling, prior authorization and refill authorization for prescription drugs, and monitoring of formulary compliance with the aid of teleconferencing or videoconferencing. Remote dispensing of medications by automated packaging and labeling systems can also be thought of as an instance of telepharmacy. Telepharmacy services can be delivered at retail pharmacy sites or through hospitals, nursing homes, or other medical care facilities.
Pharmacy in the United Kingdom has been an integral part of the National Health Service since it was established in 1948. Unlike the rest of the NHS, pharmacies are largely privately provided apart from those in hospitals, and even these are now often privately run.
Separation of prescribing and dispensing, also called dispensing separation, is a practice in medicine and pharmacy in which the physician who provides a medical prescription is independent from the pharmacist who provides the prescription drug.