Why Do Hospital Operating Rooms Need Automated Anesthesia Medication Carts?
Priyanka Gaur
15th World Healthcare, Hospital Management, Nursing, and Patient Safety Conference, May 14-16, 2025 in person in San Francisco, United States
In hospital operating rooms, the process of giving drugs can be time-consuming and inefficient. Unlike most nursing homes in the United States, which have switched to automated dispensing cabinets over the last 30 years, many ORs still dispense drugs manually. Automated anaesthetic medication carts, on the other hand, are operating room workstations with advanced software that relieve doctors of the burden of drug management. While these carts are not a novel concept, they have yet to gain traction in the same way that other forms of pharmacy automation have.
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To care for their highly fragile patients, anaesthesiologists require quick and easy access to drugs. Furthermore, the opioid pandemic and new regulatory obligations force pharmacies to improve their narcotics chain of custody. The transition to OR automation has the potential to improve patient safety, decrease lost patient costs, improve narcotic management, and streamline workflows.
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Many anaesthetic departments still use manual medication distribution systems, which might prevent a healthcare organisation from reaching its full potential. The standard workflow, in which a provider chooses the right drug, removes it from a tray or cart, and then administers it, makes it difficult for anesthesia practitioners and pharmacy workers to keep track of medication inventories, patient costs, and prohibited substances. They must schedule time in their schedules to visit the pharmacy or a centralised automated dispensing cabinet to check in and out drugs. A nurse may be required to leave the operating room to acquire opioids, which are then stored in fanny packs or scrub pockets for use on one or more patients. Like narcotics boxes at pharmacies, homemade containers secured with fasteners are utilised. Upon return, pharmacy employees must inspect, refill, and secure the contents of each box. They also have to manually enter the charge sheet data, which is a tiresome operation. It's easy to see how human mistakes could occur in these operations. Non-controlled drugs are frequently kept in trays that are refilled on a daily basis, and many operating rooms adopt a tray-per-case system. Personnel reload these trays and record the missing medications as they are returned to the pharmacy. There is no way to track what was given to the patient vs. what is still in the tray. Even if anesthesia drug delivery is tracked electronically in the medical record, patient medication charges are manually recorded.
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Not only is it more convenient for the provider to have automated anesthesia carts in the operating room, but it also permits patient charges to be captured at the point-of-dispense. The cart automatically generates a refill list as dispenses are logged and goods fall below a par level. Barcode scanning ensures that the right prescriptions are refilled, and it makes inventory and expiration date tracking easier for pharmacists. Both narcotics and non-narcotics are stored and maintained in the same cart. Non-medication supplies can be stored in the extra cart space.
Many of the problems produced by human processes can be solved by integrating automation. Anesthesia practitioners no longer need to stop at the pharmacy for narcotics boxes or remove medication from a central cabinet as part of their workflow when using an automated system. In the operating room, narcotics are kept secure 24 hours a day, allowing anaesthesiologists to focus on the patient rather than worrying about leaving drugs unattended. According to a 2017 survey, 95 percent of anesthesiology providers in one tertiary care hospital favoured automation over the manual procedure, whereas only 5% chose the manual process. After switching to automation, pharmacy departments have seen considerable reductions in time spent handling discrepancies, reconciling regulated substances, and restocking.
Automated medication carts have improved the patient and provider experience in nursing units, and they now have the potential to improve care in operating rooms. This technology has the potential to transform healthcare organisations by saving time and money while also enhancing clinician satisfaction and patient safety.
In the industrial workplace, automation improves productivity and quality while minimising errors and waste, improving safety, and increasing the flexibility of the manufacturing process.
Automation, rather than outsourcing or going overseas, can retain your process in-house, increase process control, and reduce lead times dramatically. Automation solutions are tailored to your specific requirements and objectives, and they quickly pay for themselves through lower operating costs, shorter lead times, increased output, and other benefits.
In the food and beverage business, automation can be employed for a variety of jobs. Automation can do almost anything, from running conveyors to picking and placing packed items with robotics. The food and beverage business is notorious for having duplicate duties that put employees' health at risk.
Process automation's main goal is to improve a company's operations. We can save expenses, time, and waste while also increasing productivity, reducing errors, and controlling all business operations in real time using automation.
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