Table 1.
Pharmacy attributes pre- and postautomation.
Process | Preautomation traditional outpatient pharmacy | Postautomation outpatient pharmacy |
Prescribing | CPOEa | CPOE |
Medication stock-up and record inputting | Manual | Direct loader to robot storage and barcode reading of expiry dates |
Space or volume management | Open shelves with secured lock and key for controlled medications. Unknown packs/m3 | Secured robotic box space calculation and allocation. ~4000 packs/m3 |
Medication picking | Manual | Robotic, barcode multi-picking (8 packages maximum per move) |
Dispensing method | Original pack | Original pack. |
Dispensed items record keeping | Tracking of each item through HISb | Automatic item deduction from stock level |
Delivery to point of care | Manual carry | Conveyor belt and spiral chute |
Inventory | Twice per year; manual with HIS reconciliation |
Automated storage system maintains consistent inventory |
aCPOE: computerized provider order entry.
bHIS: health information system.