Articles on
Pharmacy Design
USP 797 Pharmacy Design Commission
Bernstein & Associates, Architects has been selected to
provide pharmacy design services for a new hospital in New
York State. Pharmacy design consulting services include:
pharmacy planning, pharmacy...
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Modern Pharmacy Design by Karim Rashid
Walking in a pharmacy means instinctively thinking about
health or health problems. But this unique Oaza Zdravlja
Pharmacy was designed to offer a different view on health
issues and describe the “beautiful intricacies of the
human body and healing process” through its contemporary
design...
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Verna Pharmacy in Malta is Full of Light and Colour
Sartoretto Verna opens its first pharmacy in Malta, one of
the most beautiful islands of the Mediterranean. The young
and fresh atmosphere suits the resort town of Qawra
perfectly. An environment full of light, bright colors and
an elegant modern design make a unique pharmacy, which
appeals to tourists and locals alike...
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Winn-Dixie Regains Lost Ground with New Pharmacy, Design
Efforts
Nothing shows a retailer that its revitalization efforts
are working quite like a thumbs-up from customers. For
Winn-Dixie Stores, that vote of confidence came in
mid-February, when its pharmacy business was among 40 U.S.
companies honored as 2011 “customer service champions” by
J.D. Power and Associates...
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USP 797 Pharmacy Design Project in California Completed
Bernstein & Associates, Architects is pleased to announce
that a USP 797 hospital pharmacy that the firm designed in
California has been recently completed and successfully
occupied...
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Walgreens Unveils New Pharmacy Design at Technology
Conference
At the TEDMED conference, held last month in San Diego,
Walgreens showcased the new pharmacy, health, and wellness
experience it is unveiling at stores in the Chicago and
Indianapolis markets...
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“USP 797 Consulting Firm Selected to Provide USP797
Consulting on New Pharmacies in New York”
“USP797.org, Inc., the only consulting company in the
United States focused exclusively on USP 797, is pleased
to announce that it recently completed a USP 797
consulting assignment on two new sterile compounding
pharmacies in New York."
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"Mail Order Pharmacy Design – A Case Study" © William N.
Bernstein, LEED®AP, AIA, Pharmacy Design (www.pharmacydesign.org)
Mail order pharmacies are different from other types of
pharmacies, in that the pharmacy staff does not interact
personally with the patient, instead they ship out all of
their prescription sales via mail or delivery services
such as UPS and Fed Ex. Like many pharmacy types, however
--- such as hospital pharmacies and outpatient pharmacies
--- mail order pharmacies must be planned for maximum
efficiency of prescription delivery. Space, construction
dollars and staffing budgets face the same need as all
businesses in this economy to do more with less
read more...
"Pharmacy Design Trends", © Ian Janer and William N.
Bernstein, LEED®AP, AIA, Pharmacy Design (www.pharmacydesign.org)
Pharmacy design has been undergoing dramatic changes in
recent years, in a number of areas. A main trend has been
the need to modernize and automate the production,
packaging, distribution, and provision of drugs,
particularly of prescription drugs, which have to be
monitored and secured at all times. Modern pharmacies ---
particularly hospital pharmacies --- are looking to
establish an automated system that performs all the jobs
from the clean room to the patient’s bedside. Great
progress has been made in moving towards a coordinated,
automated pharmacy system. Clients looking to design a
pharmacy will want to be cognizant of these trends.
read more...
"Clean
Spaces - A Look at the Revised and Reissued USP 797
Pharmacy Design Regulation", © William N. Bernstein, ACHA,
AIA
A
revised version of the United States Pharmacopoeia (USP)
797 “Pharmaceutical Compounding—Sterile Preparations”
regulation has been issued this year. All health
facilities that prepare compounded sterile preparations (CSPs)—pretty
much all hospital pharmacies and many off-site
pharmacies—should be aware of this new regulation, whether
or not it is adopted within the facility’s particular
state.
read more...
"Impact of Interruptions and Distractions on Dispensing
Errors in an
Ambulatory Care Pharmacy", (c) Flynn EA, Barker KN, Gibson
JT, Pearson RE, Berger BA, Smith LA, American Journal
of Health System Pharmacy, June 2009
A
possible association between interruptions and
distractions and the occurrence of dispensing errors was
investigated. Fourteen pharmacists and 10 technicians in
an ambulatory care pharmacy at a general medical-surgical
hospital were tested for distractibility by using the
group embedded figures test (GEFT) as well as for visual
acuity and hearing. They were videotaped as they filled
prescriptions during a 23-day period in 1992.
read more...
USP Chapter
797 on Enforceability, (c) USP 797 Guidebook to
Pharmaceutical Compounding-Sterile Preparations, 25
August 2008
"In the
USP 797 Guidebook to Pharmaceutical Compounding-Sterile
Preparations, USP “attempts to clarify the enforceability”
of Chapter 797. The guidebook is a compilation of the full
text of Chapter 797, public comments with responses from
the committee which formulated the document, and five
pages addressing enforceability."
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How
Can Information Technology Improve Patient Safety and
Reduce Medication Errors in Children's Health Care?, (c)
Rainu Kaushal, Kenneth N. Barker and David W. Bates,
Archives of Pediatrics & Adolescent Medicine,
September 2001
The 1999
Institute of Medicine report dramatically increased public
awareness of medical error. It estimated that each year
44 000 to 98 000 people die of an iatrogenic injury,
either as a main or a contributing cause, and that 1.3
million are injured by medical treatment. The mortality
estimates were extrapolated primarily from 2 large
studies, one in New York State (the Harvard Medical
Practice Study) and the other in Colorado and Utah. Even
though some controversy surrounds the accuracy of these
mortality estimates, all agree that the number of deaths
attributable to iatrogenic injury is too high. In this
article we review the epidemiology of medication errors
and adverse drug events (ADEs) and discuss the evidence
for the potential benefit of information technology in
reducing them.
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"Relationships Between Ambient Sounds and the Accuracy of
Pharmacists' Prescription-Rilling Performance", (c) Flynn
EA, Barker KN, Gibson JT, Human Factors in Health Care,
December 1996
Dispensing errors are a problem on a national level, at a
rate of about 4 errors per day in a pharmacy filling 250
prescriptions daily. An estimated 51.5 million errors
occur during the filling of 3 billion prescriptions each
year.
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"Re-engineering a Pharmacy Work System and Layout to
Facilitate Patient Counseling", (c) Lin AC, Jang R, Sedani
D, American Journal of Health-System Pharmacy,
1996.
The
development and evaluation of a new work system and
facility design for a chain of community pharmacies are
described. A new work system was developed to optimize
utilization of pharmacist and technician time and allow
the pharmacy to increase patient counseling without adding
personnel. In the new system, pharmacists would review
prescriptions, check technicians' work, and dispense
prescriptions, counseling patients as needed; technicians
would enter prescriptions into the pharmacy computer and
fill them.
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"Technology
and Automation in Pharmaceutical Care", (c)
Felkey
BG, Barker KN., Journal of the American Pharmaceutical
Association, 1996
Pharmacy computer systems in the future will help
pharmacists assess patients' medication needs, evaluate
drug therapy, and manage patient information. Technology
companies are developing systems for automatic dispensing
and for distributing medications from nurses' stations in
hospitals and long-term care facilities.
read more...
"Design and Evaluation of a Sterile Compounding Facility",
(c) Allan EL, Barker KN, Severson RW, American Journal
of Health-System Pharmacy, 1995
The
design and evaluation of a sterile compounding center for
a large community teaching hospital are described. The new
sterile products area was redesigned to improve efficiency
by minimizing staff travel and to incorporate
recommendations of the ASHP Technical Assistance Bulletin
on Quality Assurance for Pharmacy-prepared Sterile
Products. The design approach combined strategic planning
with master facilities planning.
read more...
"Patient
Treatment Adherence - Facility Design and Counseling
Skills", (c) Allan EL, Suchanek-Hudmon KL, Berger BA.,
Pharmacy Technology, 1992
The
design of a counseling area can indirectly affect the
quality of the interaction between the patient and
healthcare provider, primarily in terms of its effect on
communication. The key features that should be included in
the design of the area are different levels of privacy
(visual and auditory), "soft" interior decoration, and
accommodation of people with disabilities.
read more...
"Illumination and Errors in Dispensing", (c) Buchanan TL,
Barker KN, Gibson JT, American Journal of Health-System
Pharmacy, 1991
The
relationship between the level of illumination and the
prescription-dispensing error rate in a high-volume Army
outpatient pharmacy was investigated. The prescription
error rate was determined by direct, undisguised
observation and retrospective prescription review under
three levels of illumination...
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"Effect of Technological Changes in Information Transfer
on the Delivery of Pharmacy Services", (c) Barker KN,
Allan EL, Swensson ES, American Journal of
Health-System Pharmacy, 1989
Personal computer technology has arrived in health care.
Specific technological advances are optical disc storage,
smart cards, voice recognition, and robotics.
read more...
"Effects of Simulated Facility-Design Changes on
Outpatient Efficiency", (c) Lin AC, Barker KN, Hassall T,
American Journal of Health-System Pharmacy, 1988
The
potential effects of using the Baker drug counter or the
Systamodule pharmacy fixture, or both, on the efficiency
of the current outpatient pharmacy system at the National
Institutes of Health were evaluated by computer
simulation. It was hypothesized that the use of these two
devices would reduce (1) the prescription-filling time (RxFT)
and (2) the distance traveled (DT) by pharmacists in
filling individual prescriptions.
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"Quality and Comprehensiveness of the National Drug Code
Directory on Magnetic Tape", (c) Gibson GT, Barker KN,
American Journal of Health-System Pharmacy, 1988
The
quality and comprehensiveness of the FDA's National Drug
Code Directory (NDCD) in magnetic tape form was evaluated.
The internal quality of the tape was measured by
performing cross-checks of the four record types found on
the tape and by checking for the presence of "illegal"
characters.
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"National Survey of Hospital Pharmacy Facilities Space
Allocations and Functions", (c) Alexander VB, Barker KN.,
American Journal of Health-System Pharmacy, 1986
Space allocations for hospital pharmacies and the demand
on these facilities in terms of the external environment
and functions performed are described. A 12-page
questionnaire was sent in July 1982 to the chief
pharmacists in a random sample of 1846 hospitals in the
United States stratified by 10 hospital types.
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"National survey of Hospital Pharmacy Facilities:
Introduction", (c) Barker KN, Alexander VB, American
Journal of Health-System Pharmacy, 1986
This paper introduces three articles that report results
of a national survey of hospital pharmacy facilities
conducted in July 1982. A historical perspective of
pharmacists' involvement in facilities planning and
examples of internal and external factors influencing the
optimal design of hospital pharmacies are presented.
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