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2022 Pharmacy Trends

As change continues to sweep the industry, we take a closer look at the trends that may be coming to a pharmacy near you.

The long reach of the COVID-19 pandemic has engulfed every industry, including pharmacy. Although many industries have worked to adapt or survive, the variety of issues affected by the pandemic has triggered positive shifts in community pharmacy practice overall, according to Bri Morris, PharmD, senior director of program development at the National Community Pharmacists Association (NCPA) in Alexandria, Virginia.

Across the country, many pharmacists have long been waiting to practice closer to the top of their licenses. These emerging trends offer community pharmacists unprecedented opportunities to do exactly that. Here are some potential pharmacy trends to watch in 2022.

Expect to See an Uptick in Point-of-Care Services

Community pharmacies increased their point-of-care testing services during the pandemic—a feat that Morris says many pharmacists have “embraced…to meet their patients’ immediate needs.”

“Now that so many pharmacists have [obtained] their CLIA [Clinical Laboratory Improvement Amendments] certificates of waiver and introduced COVID-19 testing into their regular practice, there is an opportunity to branch into other acute infectious disease and chronic disease management,” Morris told Drug Topics®. “In many states, pharmacists are able to test and treat these patients for minor ailments as well.”

Immunization Services Are Here to Stay

Immunization services have been trending in pharmacy for years, and the surge in recommended infectious diseases immunizations has only increased patient demand. Yet despite the apparent opportunity, providing these services remains a significant pain point for pharmacists on the front line, who often operate under the mounting pressure of meeting high prescription volumes with minimal staff support. Morris, though, is optimistic that recent technological interventions and logistic strategies have helped alleviate some of the pressure.

“Now community pharmacies have adopted scheduling platforms and designed a staffing workflow to integrate immunizations into pharmacy workflow,” she said. “Gaps still exist in routine immunizations for both adults and children, and community pharmacies can meet those gaps.” The numbers speak for themselves: As of November 9, 2021, community pharmacies and federal programs had administered and reported nearly 163 million doses of COVID-19 vaccines, according to data collected by the NCPA. This number does not include the data for vaccine doses administered and reported by state-administered programs.

Expanding Roles for Pharmacy Technicians

The soaring demand for immunizations has expanded roles for pharmacy technicians. Much like the pharmacist’s role, that of pharmacy technicians’ has evolved over the years, and the concept of expanding the services that technicians provide is not new either. 1 The COVID-19 pandemic led to the declaration of the Public Readiness and Preparedness (PREP) Act. Initially enacted by Congress on December 30, 2005, the PREP Act endows the secretary of the Department of Health & Human Services with the authority to declare the act whenever an emergent event poses a threat to public health.

In the pharmacy world, the PREP Act allows medical professionals to engage in the provision of services that may exceed their ordinary scope of services under usual circumstances, in an effort to address the shortage of responders and improve the availability of services and resources. 2 On February 2, 2021, Acting Secretary of the Department of Health and Human Services Norris Cochran moved to amend the PREP Act declaration for the COVID-19 pandemic to define the list of individuals able to prescribe, dispense, and administer vaccines. The amendments culminated with one defining pharmacy technicians as “qualified persons” able to administer the seasonal influenza vaccine to adults in the state in which they are legally allowed to practice.

Secretary Xavier Becerra was responsible for the final amendment, which also grants pharmacist interns similar authority to administer seasonal influenza vaccines to the adult population. The act also allows pharmacy technicians to facilitate point-of care testing during the pandemic. Both pharmacy technician–provided immunizations and point-of-care services require pharmacist supervision. Morris anticipates that these services temporarily allowed by the PREP Act are the gateway for an entire suite of services that pharmacy can expect to fall under technician ownership.

“This expansion of scope combined with increased workforce demands brings about new roles for pharmacy technicians,” Morris said. “Medical billing specialist, immunization administrator, med sync [medication synchronization] lead, and community health worker are just a few of the titles we can expect technicians will have in the coming years.”

At Home Services Will Expand

“With more than 10,000 Americans aging into Medicare daily, providing medical-at-home services to keep patients who might otherwise be in a nursing home in the familiarity of their homes is a patient care no-brainer, and many pharmacies are currently caring for these patients,” Morris explained. “Currently, the incentives and payment don’t match the effort.”

However, Morris anticipates that the historically poor reimbursement for the services that pharmacies provide will change with services that allow patients to age in place. For example, a new clinically integrated network focused on helping patients age in place, combined with advocacy efforts led by NCPA’s long term care division, helps pharmacies capitalize on potential business opportunities.

According to its website, 3 NCPA has asked the Centers for Medicare & Medicaid Services (CMS) to formally “recognize medical at-home pharmacy services regardless of where the patient resides.” The Community Pharmacy Enhanced Services Networks (CPESN) USA started CPESN At-Home, a new network that contracts for enhanced services designed to address the needs of patients. Such patients would otherwise be candidates for a nursing facility, including those who are homebound, have trouble accessing a pharmacy, or require some level of caregiving assistance.

“You, as the pharmacist, are able to provide the same level of care that that same patient would receive in the nursing home, but you’d provide it at their home,” Morris said.

Improvements in a pharmacists’ longstanding battle for formal recognition by the US government and payors as health care providers continues, and with that comes the challenge not only of seeking compensation but also of gaining respect. However, a 2021 article by Deloitte, The Pharmacist of the Future, 4 suggests that a lack of the latter may prove advantageous from an accessibility standpoint.

“Pharmacists are not seen as authority figures the way that doctors are seen,” said an anonymous educator and research scientist who was quoted in the article.” [I]in a way, that’s probably sad, but what it means is that the pharmacist is more approachable than the doctor, and that can be really useful.”

The article’s authors also highlighted how pharmacists’ approachability, coupled with frequent patient contact, automatically enhances the opportunity to build trust. The patient-pharmacist rapport establishes a gateway into the patients’ worlds, with pharmacists able to form a bond that allows them to take a deep dive into their patients’ experiences and collect vital problem-solving information.

Being central figures in the health care equation uniquely allows pharmacists to identify additional resources for their patients and help them navigate the health care system. Watching these and other trends unfold over the past year suggests the consulting firm’s crystal ball is quite clear. Only time can tell how the industry will truly take shape.

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Pharmacy Forecast 2022 Anticipates Lasting Impact From Pandemic

Health-system pharmacists responded to COVID-19 disruptions to healthcare by expanding their role in patient care, and these pandemic-related changes will impact the profession in years ahead, according to the 2022 ASHP/ASHP Foundation Pharmacy Forecast Report , released during the American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting & Exhibition.

“The Pharmacy Forecast is a unique and vital strategic planning tool to help pharmacy leaders and practitioners better serve their patients and to continue to position their pharmacy departments for success now and in the future,” said ASHP Chief Executive Officer Paul W. Abramowitz, PharmD, ScD (Hon), FASHP. “This year’s Forecast report reflects the ongoing challenges associated with COVID-19, and the related opportunities for pharmacy professionals to continue to enhance their leadership and advance their practices in service to their patients and communities from the bedside to the home and all points throughout the continuum of care.”  

According to the Pharmacy Forecast , COVID-19 experiences may affect healthcare, medication use, and the pharmacy profession in the next five years in the following ways:

Pharmacists’ Role Grows in Emergency Preparedness

Health system and pharmacy leaders must be prepared for future disasters and emergencies, including natural or man-made events, such as pandemic outbreaks or terrorist attacks that may result in organizational and community-wide disruptions. While continuing to participate in their health systems’ emergency-preparedness plans, pharmacy leaders must also be embedded in preparedness planning with local, regional, and national interdisciplinary public health teams. Within health systems, pharmacy leaders will need to create contingency staffing plans to “right size” staff in response to significant health-system patient volume shifts.

The 2020 Public Readiness and Emergency Preparedness (PREP) Act allowed pharmacists to expand their roles in providing vaccinations, administering COVID-19 tests, and organizing and overseeing mass vaccination programs. Pharmacy leaders and pharmacy organizations should advocate to expand and continue changes made possible by the PREP Act.

More Strategies to Solve Supply Chain Issues Are Explored

Early in the pandemic, it was unknown how many patients would be hospitalized with COVID-19 and which treatments would be effective—circumstances that exacerbated ongoing drug shortages. Further analysis of the shortages and disruptions to the pharmaceutical supply chain are needed to improve production forecasting and create dynamic allocation strategies to ensure medications are distributed appropriately by a hospital and region. In-house or regional continuous manufacturing processes could mitigate future drug shortages; or health systems may be able to collaborate with manufacturers to develop demand surge strategies like demand contracting and regional warehousing.

Equitable Access to Digital Tools Expands

The COVID-19 pandemic has pushed to the forefront the need for more accessible and effective communication technologies. However, the lack of technological access and literacy negatively affected underserved populations during COVID-19 vaccine distribution. Voice-assisted technology is already being incorporated in healthcare—for example, in diabetes management, medication management, and refill reminders. Pharmacy leaders should advocate for equitable access to digital tools to ensure underserved populations benefit from technological advances .

Digital Health and Artificial Intelligence Play Growing Role in Medication Management

The pandemic accelerated the use of telehealth, increasing the likelihood health systems will use digital health solutions and artificial intelligence to optimize medication management. Pharmacists are likely to be called upon to lead efforts to streamline digital health solutions into current workflows to take advantage of potential gains while also mitigating unintended consequences of new technology. Pharmacists will also manage chronic conditions from remotely generated health data.

New Care Models Get Traction

The pandemic required changes in how care is delivered. For example, health-system pharmacists helped deliver vaccinations to patients’ homes, at drive-thru locations, and to schools. In addition, pharmacists and health systems pivoted to manage patients with chronic illnesses remotely when in-person visits were too risky. New care models, including hospital at home, will continue to develop and evolve. Health systems will increasingly be required to offer advanced care in the home, and pharmacy leaders will be expected to participate in the design and implementation of remote patient care technology.

“One of the most salient lessons of the COVID-19 pandemic is the need for pharmacy leaders to make investments in areas that will allow their organization to effectively respond to disruptions caused by unforeseen events like a global pandemic while also supporting the health system’s overall preparedness efforts,” said Joseph T. DiPiro, PharmD, editor of the Pharmacy Forecast . “Topics covered in the most recent edition of the Pharmacy Forecast examine the areas that present the greatest challenges for healthcare organizations and offer critical insights for pharmacy leaders as we work to advance health outcomes, healthcare delivery, and pharmacy practice.”

Report authors developed the Pharmacy Forecast through a “wisdom of the crowd” process that started with a list of pressing issues generated and refined by an advisory committee and then fielded as a survey to 387 pharmacy leaders from around the country. Complete responses were submitted by 311 pharmacists representing a variety of leadership roles, hospital sizes, and geographic regions. The report provides wide-ranging insights on topics from providing value, disparities in care, preparedness, and workforce issues. 

May 2024

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An Overview of the Current State and Perspectives of Pharmacy Robot and Medication Dispensing Technology

Asmaa r alahmari.

1 Computer Science Department, Faculty of Computing and Information Technology, King Abdulaziz University, Jeddah, SAU

Khawlah K Alrabghi

2 Department of Pharmacy, Al Qurayyat General Hospital, Al Qurayyat, SAU

Ibrahim M Dighriri

3 Department of Pharmacy, King Abdulaziz Specialist Hospital, Taif, SAU

It has been widely reported that a large number of patients die from cases of errors in the issuing of medication prescriptions. These cases occur due to a wide range of things, but the common denominator in all of the cases is humans. A hospital pharmacy has a very critical task, especially with growing patient numbers. The increasing number of prescriptions needed to be filled daily reduces the amount of time that the staff can use to focus on each individual prescription, which may increase the human error ratio. The need for robotic-assisted pharmacies is arising from here to distribute drugs to eradicate or substantially reduce human error. The pharmacy robot is one of the most significant technologies that play a prominent role in the advancement of hospital pharmacy systems. The purpose of this review paper is to cover the pharmacy robot concept and the published literature reporting on pharmacy robot technology as one of the most important applications of artificial intelligence (AI) in pharmacology. Although the outcomes of the impact of the pharmacy robot have been increasingly beneficial in overall improvement, staff morale, and functionality of pharmacies, there are still mechanical errors occurring. The errors, in turn, require human intervention. The key takeaway from this study is that robots or machines cannot replace human duties in their entirety. This in turn means that those human interventions will have an impact on the workflow and throughput.

Introduction and background

Introduction

The aim of a hospital pharmacy is to provide patients with the prescribed medication when the medication is scheduled according to the professional’s instructions. However, this is not an easy task, especially with growing patient numbers. Although patient safety and care are the ultimate and possibly only priorities, the impact of human error in the process of issuing medication to patients can be, at times, deadly. These errors occur in various ways, such as the incorrect dosage being issued or the medication not being issued at the correct time. Nonetheless, all of these can and do have serious consequences. In addition, this is a major logistical concern as the pharmacy delivers drugs by various dispensing methods and delivery routes to all the hospital units [ 1 , 2 ].

There are many different types of technologies available inside a hospital pharmacy framework that work to enhance patient safety by reducing prescription mistakes and missing drugs. The pharmacy robot is one of the most significant technologies that play a prominent role in the advancement of hospital pharmacy systems [ 1 - 5 ]. The pharmacy robot is almost flawless in medication administration, and the correct algorithm allows the application of the five rights as published in a study [ 6 ]. These rights refer to the only way to avoid errors by ensuring the correct patient received the correct medication and dosage in the correct administration at the correct time.

Using robots ensures a considerable decrease in the time, costs, and production of overall waste in pharmaceutics and other biological research fields [ 2 , 7 ]. The time needed to prepare the prescription is also one of the significant advantages of using robotic technologies [ 7 ]. Besides, robotics reduces the percentage of medication errors [ 8 ].

Even though robots can provide unattended operations for the handling of pharmaceutics, they need the attention of an operator as machine errors still occur, albeit rarely. Thus, a large concern is that artificial intelligence (AI) will displace humans in their duties, and although there are ethical questions when implementing AI in the healthcare sector, it is inevitable that human intervention will continue. These human interventions do, however, affect both the workflow and throughput. Human intervention could take the form of an operator who needs to direct, load, or unload products. Mechanical issues, defined as errors within the system, continue to occur, which then require intervention from an operator. Mechanical errors were recorded as varying problems, such as material problems, which included vials or fluid bags not falling within the weight parameters, misshapen needles, or the inability for the robot to successively grip or hold a vial due to manufacturing defaults in the assembly of the robot. Other errors occurred due to manufacturing changes whereby measurements of syringes or other items were incorrect. Barcode and vial recognition failures were also reported, and this is due to the limitations of the robot's being able to overcome multiple simultaneous versions of a task. All of these errors required the intervention of the pharmacist or technician in order to verify necessary data, adjust parameters, or repair manufactured defaults [ 9 ]. The purpose of this article is to review pharmacy robot technology as one of the most important applications of AI in pharmacy.

What Are Artificial Intelligence and Pharmacology?

In simple terms, AI is the ability of a system, mostly computers, to act intelligently and therefore perform tasks that would normally require human intervention. There are many things that power these systems; they can be simple things like rules, machine learning, or even deep learning [ 10 ]. Pharmacology refers to the chemicals used in the treatment of illness and disease [ 11 ].

What Is a Robot?

According to various sources of literature, a robot is considered an intelligent agent, either virtually or mechanically. This agent can then carry out tasks either under the supervision of guidance, typically via remote control, or automatically. An automaton, which is the common name for an autonomous robot, refers to a robot that can undertake various tasks in environments that are either structured or not. The robot is able to perform these tasks without human supervision. Robotics has seen substantial advances over the past years leading to its increased applications in numerous real-world complications including automated industrial manufacturing, healthcare and medical robots, and self-driving vehicles [ 12 ]. Today’s society has seen the use of these robots across various applications, fields, and sectors. Examples include the transportation, medical, military, and banking sectors, to name a few. Relevant to this study is the use of robots within the pharmaceutical sector; these robots that are usually functioning autonomously can be programmed and configured in order to make the distribution of prescription drugs more effective and efficient, therefore reducing the need for human intervention and, in turn, reducing the risk of human error [ 13 ].

Robots make use of map-making algorithms in order to create a map of their environment. These algorithms allow the robot to have an accurate display of its environment, which is essential for the effectiveness of the application. These maps are used in the same way that humans use maps. The robots use the maps for guidance to “see” their environment. The accuracy of these maps is important as it forms the basis of the practical applications needed to be carried out by the robots [ 13 ].

As with all technology, the aim of this kind of technology is to ensure effective, efficient, and accurate application within the setting. This in turn means that the pharmacy robot will be able to take the art of traditional medical dispensing into the next era. The benefits of this particular application include increased productivity; a medical dispensing fault-free environment; pharmaceutical operations that are effective, safe, and secure; shortened patient "waiting period," and a germ-free and safe environment [ 14 ].

Pharmacy Robot's System Architecture

For efficiency, the best fit across multiple areas is usually custom. From the view of the system architecture, each application, robot, or system is custom designed and built based on the needs and functions of the system. All aspects involved within the application are carefully considered when an automation system is built. In this section, in order to understand the system architecture, we will explain in detail the pharmacy robot system architecture by giving an example of a pharmacy robot that was introduced by some authors [ 13 ]. As we see in Figure ​ Figure1, 1 , the robot communicates autonomously and directly with a physician, assistant, or intermediary. The robot then scans the inventory of stock in order to assess the availability of the prescribed medication. When the prescribed medication is available, the robot will fill the container with the medication and store the filled container. This is all done by the robot referencing and interacting with its environment using the internal map created with the map-making algorithm. The specific robot in this article makes use of simultaneous localization and mapping (SLAM). When the patient or representative arrives to collect the prescription, the robot will validate the identity of the individual receiving it. The patient or representative then presents the prescription, and the robot will then issue the prepared medication over to the patient. As mentioned above, this specific robot makes use of AI and SLAM in order to interact with a variety of things. Not only does SLAM allow the robot to have a clear and accurate map of its surroundings, but it also allows the robot to update the map when needed, keeping an accurate and updated “vision” of the current locations of inventory [ 13 ].

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Object name is cureus-0014-00000028642-i01.jpg

Figure  2 illustrates the physical architecture of the pharmacy area; this is often referred to as an embodiment. Multiple customers may enter and choose an available room. These rooms are individually secure as they can be locked from within [ 13 ]. Over and above this, the vault, which is the store for a variety of medications and dispensers, can be controlled according to specific requirements, such as light and temperature. This allows for the control and reduction of the deterioration of various medicines that require refrigeration, etc. This setup allows the servicing of multiple people at one time [ 13 ].

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Object name is cureus-0014-00000028642-i02.jpg

Figure ​ Figure3 3 is to clarify the interactions between the robot and medical staff such as doctors or assistants like nurses [ 13 ]. The patient is consulted and examined by a doctor. The patient is then issued a prescription from the doctor. This prescription will contain an authentication mark (barcode, signature, etc.) [ 13 ].

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Object name is cureus-0014-00000028642-i03.jpg

Figure ​ Figure4 4 clarifies the interactions between the robot and clients or patients [ 13 ]. If the prescribed medication is in stock, the robot authenticates the prescription by accessing the patient’s file on the network [ 13 ].

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The retrieval and storage of functions of the robot could be as follows in the sequence as shown in Figure ​ Figure5 5 [ 13 ].

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Patients are verified and validated using their biometrics on file. Once complete, the patients can access their medication as shown in Figure ​ Figure6 6 [ 13 ].

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The objective of the current review paper is to cover the published literature reporting on pharmacy robot technology as one of the most important applications of AI in pharmacology. The exploratory search process covered the most relevant organizations in the pharmacology community. The search was conducted using the IEEE Computer Society Digital Library, Association for Computing Machinery (ACM) Digital Library, ScienceDirect, SpringerLink, and Google Scholar. These search engines cover the majority of published pharmacology studies as of April 20, 2020. These search results were screened and filtered to include studies of any design, which reported an outcome measure of interest that was related to the technology of the robot pharmacy. Publications in English that were published in 2010 to date were included. The title, abstract, and full publications were used to identify citations of interest. Once the full review of the publications was completed, several eligible publications were selected for inclusion in our review.

Why a pharmacy robot?

According to www.youhaverights.com , in the United States, it is estimated that 30 million pharmacy errors occur annually. An estimated 7,000 patients die from these cases of errors and thousands of severe complications each year. These errors occur due to the misinterpretation of the prescription by the pharmacist with regard to medication name or dosage, to name a few. The reasons for the occurrence of these errors usually seem to stem from the overworked pharmacy employees. These employees operate under extreme pressure and have ever-increasing workloads. The increasing number of prescriptions needed to be filled daily reduces the amount of time that the staff can use to focus on each individual prescription. The most common pharmacy errors are incorrect dispensing of medications, incorrect dosage being administered due to the failure of staff to instruct consumers on specific medication usage, and incorrect delivery and preparation of IV (intravenous) drugs to patients in hospitals [ 15 ].

So, the need for robotic-assisted pharmacies arises from here to distribute drugs to eradicate or substantially reduce human error. The advantages of robotics in pharmacy are to improve and add to the current patient care and therefore increase revenue, improvement in the overall functionality and operation of pharmacies, and effective management and storage of medication as well as patient data. Overall enhanced productivity leads to increased dispensing speed and, therefore, decreased patient waiting time. It allows for the decentralizing of pharmacy services and the evolution of ward-based medicine management. This allows the elimination or significant decrease in the number of errors and contamination. Therefore, using barcoding and photo verification increases patient safety and decreases the risk of litigation. This improves dispensing efficiency and enables the re-engineering of pharmaceutical services, which leads to maximum utilization of space in hospital pharmacy departments [ 16 - 18 ]. The use of AI is an improvement of the traditional pharmaceutical dispensing system. Although we have seen the evident improvement and efficiency that technology adds to various systems, such as the reduction or absence of human error, as with anything that is not perfect and has been created by man, it would be unwise to not take into account the disadvantages that technology presents. These disadvantages include the following: computer literacy and staff competencies may impact their ability to manage or program the dispensing robot. This could lead to extensive input of training over a significant period of time. The dispensing robot requires accurate programming as incorrect programming may lead to errors. As with most technology, there are sizable startup costs, maintenance costs as well as the need for continuous software updates. It is well known that with the evolution of technology, systems can be considered out of date quite quickly, which will then require updating. Although robots will bring increased and improved efficiency and productivity, the redundancy of pharmacists will never occur. Where there is a limited pharmacist and patient interaction, it might make patients reluctant to use the service. These dispensing robots rely on computer programs that can fail at any time. The maintenance and upgrade of software as well as the connection of the dispensing robot to the pharmacy’s system could be timely and will require meticulous detail in order to avoid any repercussions and errors.

Examples of pharmacy robot

The following are some of the most widely known unit dose drug automation systems in the world. These are Pyxis and Rowa Speedcase automation systems. Their advantages and disadvantages can be summarized as follows in Table ​ Table1 1 [ 1 , 19 , 20 ].

A comparison between robot pharmacies and traditional pharmacies

Pharmacy robots are mechanical devices that conduct planned, sophisticated, and repetitive manipulations that mimic human behavior without continual input from a human. As part of their treatment, the majority of patients require medication. Various technology-based solutions, such as computerized physician order entry (CPOE) and patient barcoding (BC) systems, have been implemented in hospitals to increase patient safety. According to current evidence, documenting, dispensing, and giving drugs to patients are all high-risk steps in taking medicine [ 21 ].

Automated methods have been introduced in many pharmaceutical distribution systems to address the risks of manual dispensing and administration systems. In addition, there is a lot of pressure to cut expenditures and reallocate time from manual distribution. Putting these resources toward greater clinical work has been a success. New methods and procedures must be developed to reduce patient wait times, provide drug therapy information to physicians and pharmacists, and increase productivity by automating administrative tasks [ 22 ].

van Doormaal et al. reported that manual medication evaluation revealed 57 pharmaceutical overdose errors and 143 therapeutic errors, 46 of which were drug-drug interactions. A total of 297 safety alerts regarding overdose and 365 safety alerts involving drug-drug interactions were generated using CPOE and basic clinical decision support systems. The clinical rules yielded 313 safety alerts, accounting for 39% of all overdoses and treatment mistakes discovered in the manual assessment. The patients in 23% of the warnings generated by a clinical rule required a medication adjustment, as indicated by the manual evaluation [ 23 ].

Amodeo et al. reported that the median error detected during reconstitution, dilution, and final therapy of medications made by the I.V. Station® was less than 5%, with narrower error ranges than drugs prepared manually. Unlike the manual technique, the I.V. Station® consumed fewer materials, lowered expenses, cut preparation time, and streamlined the medicine process as the number of preparations increased [ 24 ]. Table 2  shows a comparison between robot pharmacies and traditional pharmacies.

Obstacle avoidance by hospital ward inspection robots in a complex environment

Laser radars, vision modules, ultrasonic radars, and infrared radars are the principal sensors used to identify obstructions. There are two types of laser radar: 2D and 3D laser radars. Because of the narrow detection range of infrared radars, they have little value for warning ahead of time. Similarly, ultrasonic radars have little use for warning ahead of time due to ultrasonic reflection and poor orientation performance [ 38 ].

Detection of Obstacles

With the laser sensor carried on its own body, the robot identifies dynamic and static impediments and establishes the laser sensor's detection model. Using a multilayer perception strategy based on the potential field exclusion approach, the robot judges the obstacle's perception layer in terms of different distances between the robot and the obstruction and then pushes itself to execute different mobility strategies. The design of the threshold value between each layer is dependent on the robot's running speed, deceleration, acceleration, the current electric amount of power, and the corridor's size [ 39 , 40 ].

Conclusions

AI applications have left visible marks in many different fields. With robots, hospital pharmacies will increase their performance, increase prescription filling levels, improve counting accuracy, minimize drug errors, increase safety, ensure adherence to patient doses, automate their supply chains, and avoid delays in supplies and stock outages. Besides, robots can also help them minimize costs as they do not need to hire additional staff to support the extra load at peak times. The advantages are apparent, but what this means for humans and their sustainability is a concern. If robots are able to perform better, there will be no need for humans, and large-scale unemployment could occur. The famous late Stephen Hawking said, “This may mean the end of the human race." It would therefore be essential to create AI to work with humans rather than independently. AI can ensure accuracy within the parameters of the task, and humans will be able to have a broader reach when making decisions. Clinical decisions can be improved with AI and thus drive further research. The important goals of our future research will be to cover more studies related to pharmacy robots and medication dispensing technologies. We are also interested in comparing the studies with analysis and critical evaluation. It would be interesting to see how smart hospitals embrace this growing trend in the future.

The content published in Cureus is the result of clinical experience and/or research by independent individuals or organizations. Cureus is not responsible for the scientific accuracy or reliability of data or conclusions published herein. All content published within Cureus is intended only for educational, research and reference purposes. Additionally, articles published within Cureus should not be deemed a suitable substitute for the advice of a qualified health care professional. Do not disregard or avoid professional medical advice due to content published within Cureus.

The authors have declared that no competing interests exist.

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5 Hot Topics for Community Pharmacists in 2023

As a new year approaches, pharmacists have so much to look back on and be grateful for, and a world of opportunity in front of them. Here are a few things to be ready for right away in 2023.

It’s that time of the year again. Time for independent pharmacists to reflect on our amazing accomplishments and think about what we’ve learned so we can make what’s ahead even better.

You don’t need a crystal ball to see the opportunities and challenges headed our way. Many of the hot topics on the horizon have been brewing for a while. Pharmacy technology, tech-savvy consumers, data security—it’s all picking up speed, and pharmacists need a plan. To get the process started, let’s take a look at 5 topics for 2023 that should be on every pharmacist’s mind.

1. Find a partner, not just a vendor

Pharmacists play an important role in improving patient health, but to reach our full potential, we need to expand beyond medication dispensing. Chronic disease management, point-of-care testing, and patient education all are opportunities, but a lot to take on.

A true business partner can help a pharmacy be the dependable health resource their community deserves. Gone are the days of hiring a vendor with little knowledge of your business or vested interest in the people you serve. More than ever, it’s all about trust.

2. Artificial intelligence (AI) is key to pharmacy profitability

High-deductible health plans continue to grow in popularity. This is forcing customers to ramp up their search for new ways to save on their medications.

Pharmacists need a pricing solution that keeps customers happy and builds the bottom line. That’s where AI comes in. It provides data-driven insights that take that guesswork out of drug pricing and enhances the pharmacy experience. The buzz around AI in the pharmacy is growing —look for it to get even louder in 2023.

3. Pharmacy benefit managers (PBMs) will be under a bigger microscope

It’s a nationwide problem: Pharmacies are going out of business due to the predatory business practices of traditional PBMs . Up until now, PBMs have operated completely in the dark.

With no accountability or transparency, they obscure the true cost of drugs, and the consumer often pays higher prices. But FTC investigations are set to shine a brighter light on these nefarious practices.

By pushing for change, the FTC can help pharmacists run a profitable business, and help consumers make better choices for their health. Look for FTC hearings and their impacts in the coming year.

4. Consumers want more technology and transparency Today’s tech-savvy consumers see the benefits of a simpler, more transparent medication shopping experience. Prescryptive’s recent Independent Pharmacy Trends study showed 72% of consumers would be likely to use their mobile phone to compare drug prices, and 85% believe knowing the price in advance would improve their pharmacy experience.

By providing mobile-friendly solutions and transparent pricing options, you’ll drive more customers to your counter. The coming year is the time to invest in new technology.

5. Data security takes a front row seat

Nearly 50 million people in the United States had their sensitive health data breached in 2021. Hackers are everywhere, and community pharmacies are seen as relatively soft targets.

Advanced security protections have never been more important. Find a technology partner who can protect your patients’ data while helping your business grow in 2023.

But the real bottom line will never change

No matter what comes our way in 2023, one thing that will always stay the same: Our focus on the patient. Taking care of people is at the center of everything we do. With the right technology, trusted partnerships, strategic thinking, and a ton of hard work, independent pharmacists will thrive and help build healthier communities.

About the Author

Paige Clark, RPh, is the VP of Pharmacy Programs and Policy at Prescryptive, overseeing the company’s policy work to drive awareness, utilization, and scope of trusted independent pharmacists nationally. Prior to Prescryptive, Paige spent 11 years at Oregon State University's College of Pharmacy, driving policy initiatives for the state’s licensed pharmacists, including the prescribing of birth control and tobacco cessation services. Paige also worked as the Staff Pharmacist Consultant for the Oregon Board of Pharmacy, managing rule writing, legislative endeavors, and regional and national policy work. She is a frequent speaker and presenter at national industry conferences and a multi-award winner, including several Pharmacist of the Year recognitions.

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Chasing down a cellular 'short circuit' sheds light on how certain diseases begin

by University of California - San Diego

Chasing down a cellular 'short circuit'

A group of researchers at University of California San Diego has identified the cause of a "short-circuit" in cellular pathways, a discovery that sheds new light on the genesis of a number of human diseases.

The recent study, published in the journal Science Signaling , explores the biochemical mechanism that can interrupt the cellular communication chain—a disruptive interaction that Pradipta Ghosh, M.D., likens to a game-ending "buzzer."

Ghosh, a professor in the Departments of Medicine and Cellular and Molecular Medicine at University of California San Diego School of Medicine, and Irina Kufareva, Ph.D., an associate professor in the Skaggs School of Pharmacy and Pharmaceutical Sciences at University of California San Diego, are the corresponding authors on the paper.

The paper explains the mechanism of "cross talk" between two cellular pathways , one initiated by proteins known as growth factors and one by their cellular receptors. The second pathway is mediated by a completely different G protein-coupled set of cellular receptors (GPCRs). Both classes of receptors deliver molecular messages from outside to inside the cell and signal cells to change in some way. Kufareva says that members of the GPCR family are targets of around 34% of all the drugs approved by the U.S. Food and Drug Administration.

"GPCRs are important drug targets mainly due to their involvement in signaling pathways related to many diseases," she explained, citing mental and endocrinological disorders, viral infections, cardiovascular and inflammatory conditions, and even cancer.

Growth factors enable a second, equally important communication pathway inside the cell that makes the cells grow and divide. Whereas GPCRs act through intracellular molecular switches (G proteins), growth factor receptors are conventionally thought to bypass the switches. However, Ghosh and Kufareva note that researchers had been suspicious about some kind of a potential conflict between the two pathways, and careful research allowed the UC San Diego team to identify it.

Ghosh said the conflict stems from problematic phosphorylation, the attachment of a phosphate group to the G protein molecule. She explained that the team used advanced mass spectrometry techniques to map all occurrences of phosphoevents, the sites on G proteins that were phosphorylated when cells were stimulated by growth factors. Then they checked how this changed the ability of G proteins to perform their normal job downstream of GPCRs.

"Whatever aspect of GPCR signaling we looked at, it was negatively impacted by almost all phosphoevents on the 'switch' protein—the G protein—that would be introduced by growth factors," Kufareva said. "That was understandable when we looked at how these phosphoevents distorted the G protein structure. Growth factors effectively 'steal' G proteins from GPCRs and in this way paralyze their signaling."

Further testing of the phosphoevents showed that one single amino acid was responsible for the G protein theft. Ghosh said the amino acid known as tyrosine is located at position 320 within the G protein, which happens to be on the side of the G protein that makes contact with G protein-coupled receptors.

"This specific tyrosine was identified almost a decade ago as a special 'trigger point' for G protein-coupled receptors to relay their signals. We began to think about the importance of such a coincidence," Ghosh explained. "That's when a light bulb went off in our heads: If cell communication were a game, the tyrosine at position 320 on the G protein would be the buzzer. If the growth factors got to it first and phosphorylated that site, the G protein-coupled receptors simply had no shot."

Kufareva and Ghosh say that the group's discovery has implications for the development of new therapies for a number of conditions, including cancer. Ghosh said that many pharmaceuticals on the market are effective in treating a wide range of diseases because the drugs target G protein-coupled receptors. But there remain a number of conditions without good drug therapies—fibrosis, chronic inflammation and cancers—because until now the interaction of these two pathways has not been understood.

"We believe our findings are likely to be both important and timely, and will contribute to other emerging studies mapping the landscape of these two major signaling pathways that control practically every process in our cells," Ghosh said.

"Our work is especially relevant in that growth factors, their receptors, and G-protein-coupled receptors appear to be highly co-expressed in many cancers," added Kufareva.

All authors on the paper are associated with UC San Diego. Suchismita Roy, Saptarshi Sinha and Ananta James Silas are members of the School of Medicine's Department of Cellular and Molecular Medicine, while Majid Ghassemian is a member of the Department of Chemistry and Biochemistry, Biomolecular and Proteomics Mass Spectrometry Facility.

Journal information: Science Signaling

Provided by University of California - San Diego

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  1. Hot Topics in Pharmacy Practice

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  3. Interesting pharmacy capstone project topics that can make your capstone stand out for the rest

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  5. 30 Interesting Pharmacy Research Topics for Undergraduate

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  6. Training and Education in Pharmacology: Experimental Pharmacology and Drug Discovery 2022

    hot topics in pharmacy research 2022

VIDEO

  1. Research Topics in Pharmacy

  2. Generic Drugs Forum 2022

  3. A Look Back at 2021 With Gartner's Chief of Research

  4. UF College of Pharmacy

  5. Hot topics in pharmacy practice

  6. Hot topics in pharmacological publishing

COMMENTS

  1. 2022 Pharmacy Trends

    Here are some potential pharmacy trends to watch in 2022. Expect to See an Uptick in Point-of-Care Services. Community pharmacies increased their point-of-care testing services during the pandemic—a feat that Morris says many pharmacists have "embraced…to meet their patients' immediate needs.". "Now that so many pharmacists have ...

  2. Clinical Pharmacy and Pharmacology

    Explore the latest in clinical pharmacy and pharmacology, including topics in drug safety, development, pharmacogenetics, and pharmacoeconomics. This randomized clinical trial examines the efficacy of ivonescimab plus chemotherapy vs chemotherapy alone for patients with advanced or metastatic non-small cell lung cancer with the epidermal ...

  3. Hot Topics in Pharmacy Practice

    Welcome to Hot Topics in Pharmacy Practice which features a variety of episodes covering emerging trends, key topics and areas across medicine. This podcast series will feature lively discussions from subject matter experts and members. ... Research that Moves Pharmacy Forward: Conversations with the 2023 ASHP Foundation Literature Awardees ...

  4. Hot Topics in Pharmaceutical Research

    Hot Topics in Pharmaceutical Research. In this virtual issue, we highlight some of the most impactful recent articles in the journal as reflected by citations in 2022. Highly cited articles provide insight into which research topics are attracting the most attention and reflect innovative new discoveries, or timely reviews and perspectives on ...

  5. Pharmacy Forecast 2022 Anticipates Lasting Impact From Pandemic

    Health-system pharmacists responded to COVID-19 disruptions to healthcare by expanding their role in patient care, and these pandemic-related changes will impact the profession in years ahead, according to the 2022 ASHP/ASHP Foundation Pharmacy Forecast Report, released during the American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting & Exhibition.

  6. Here Are 4 Trends to Watch in 2022

    Here Are 4 Trends to Watch in 2022. January 19, 2022. Jessica Daley, PharmD. Article. Drug shortages, infrastructure and wholesaler challenges will be the backdrops of the pharmacy landscape this year. The Greek philosopher Heraclitus said, "Change is the only constant in life.". Never has that been truer for pharmacists.

  7. Pharmacy

    Pharmacy. , Volume 10, Issue 1 (February 2022) - 34 articles. Cover Story ( view full-size image ): Predicting exam marks can significantly help educators to provide timely support to students. Using Artificial Intelligence (AI), a model with a correlation coefficient of 0.7 was generated that can predict a student's exam performance using ...

  8. All News

    NATALEE Data Show Ribociclib Reduces Risk of Recurrence for High-Risk Node-Negative Early Breast Cancer. Alana Hippensteele, Managing Editor. June 1st 2024. The addition of ribociclib (Kisqali; Novartis) to endocrine therapy demonstrated a 28% risk reduction in invasive disease-free survival. Read More.

  9. Trends in Oncology Pharmacy in 2022

    Steiber has served in senior positions in pharmacy, distribution, and industry during his 40-year career and is a licensed pharmacist in Texas, Washington, California, and Pennsylvania. REFERENCE. 1. New drugs at FDA: CDER's new molecular entities and new therapeutic biological products. FDA. Updated on January 6, 2022. Accessed January 14, 2022.

  10. PDF Suggested Proposal Topics

    Below are suggested topics for submission. Feel free to submit on a topic not listed below. ASHP is also soliciting proposals addressing ASHP's Practice Advancement Initiative 2030*, which includes 59 recommendations to promote optimal, safe, effective medication use; expand pharmacist and technician roles; and implement the latest technologies.

  11. Pharmacy News

    Fentanyl tablet seizures have quadrupled in 6 years. Law enforcement seizures of illicit fentanyl increased dramatically in number and size between 2017 and 2023 in the United States, especially in tablet form, according to a new study funded by the NIH National Institute on Drug Abuse. The findings, published online in International Journal of ...

  12. 2022 ASHP National Survey: Report on the Current State of Pharmacy Practice

    2022 ASHP National Survey: Report on the Current State of Pharmacy Practice. ACPE Activity Number: 0204-0000-23-094-H04-P/T. Release Date: 5/19/2023. Expiration Date: 5/19/2026. Activity Type: Knowledge-based. CE Credits : 1.0 contact hour, (0.10 CEU) Activity Fee: Free for all. This activity is a recording from a live webinar and those that ...

  13. PDF Hot Topics from TPA

    October 2022 Hot Topics from TPA 18 Fund the Future of Pharmacy Help fund the future of pharmacy in Texas! The Texas Pharmacy Foundation has launched its new Funding the Future campaign to help fulfill its mission of advancing the profession of pharmacy through research and scholarships. Be a leader and be one of the first to donate!

  14. Frontiers in Pharmacology

    The Application of Network Analysis in Ethnopharmacology and Food Nutrition Volume II. Ren-You Gan. Yibin Feng. Jian-lin Wu. Linda LD Zhong. The most cited pharmacology and pharmacy journal advances access to pharmacological discoveries to prevent and treat human disease.

  15. An Overview of the Current State and Perspectives of Pharmacy Robot and

    Figure 2 illustrates the physical architecture of the pharmacy area; this is often referred to as an embodiment. Multiple customers may enter and choose an available room. These rooms are individually secure as they can be locked from within [].Over and above this, the vault, which is the store for a variety of medications and dispensers, can be controlled according to specific requirements ...

  16. Preview of Midyear 2022: Therapeutic Debates

    MCM 2022 Highlights: Revisions to USP Compounding Standards <795> and <797> MCM 2022: Improving Health System Specialty Pharmacy One Audit at a Time; MCM 2022: Vax On, Vax Off: Implementing a Comprehensive Vaccination Program in Specialty Pharmacy Patients; Midyear Clinical Meeting Speaker Series: Spotlight on Science with Dr. Ryan Haumschild

  17. 5 Hot Topics for Community Pharmacists in 2023

    To get the process started, let's take a look at 5 topics for 2023 that should be on every pharmacist's mind. 1. Find a partner, not just a vendor. Pharmacists play an important role in improving patient health, but to reach our full potential, we need to expand beyond medication dispensing. Chronic disease management, point-of-care testing ...

  18. QS World University Rankings for Pharmacy & Pharmacology 2022

    Top universities in Africa. Discover the top universities in Africa, based on the latest edition of the QS World University Rankings. By Craig OCallaghan. Feb 19, 2024. 0M 268. Find out which universities are the best in the world for Pharmacy and Pharmacology. in the QS World University Rankings by Subject 2022.

  19. Upcoming Conferences in Moscow 2024-2025

    Conference Date. 3rd June 2024. Abstract Submission Deadline. 14th May 2024. Registration Deadline. 24th May 2024. View More About This Event. List of upcoming International conferences in Moscow 2024-2025. Subscribe to Moscow conference alerts to share ideas, get feedback, and connect with industry experts for academic development.

  20. Navigating Midyear 2022: Expert Advice and Must-Watch Sessions

    Snehal H. Bhatt, PharmD, AACC, BCPS-AQ Cardiology, FASHP is Professor of Pharmacy Practice at the MCPHS University, and Clinical Pharmacist at the Beth Israel Deaconess Medical Center, in Boston, Massachusetts. He teaches and practices in cardiology and anticoagulation. As an active member of the American Society of Health-System Pharmacists ...

  21. Hot Topics in Pharmacy Practice

    Welcome to Hot Topics in Pharmacy Practice which features a variety of episodes covering emerging trends, key topics and areas across medicine. This podcast series will feature lively discussions from subject matter experts and members. April 17, 2024. April 9, 2024.

  22. HOT TOPIC

    4 reviews of HOT TOPIC "Great hot topic with an amazing selection. They were helpful and apologized whenever an item I was looking for wasn't in stock and helped me find an alternative on the website or told me about closer hot topic stores that might have it. All staff wore masks and made sure customers were wearing masks as well."

  23. Chasing down a cellular 'short circuit' sheds light on how certain

    A group of researchers at University of California San Diego has identified the cause of a "short-circuit" in cellular pathways, a discovery that sheds new light on the genesis of a number of ...

  24. Preview of Midyear 2022: An Emergency Medicine Focus

    Hot Topics in Pharmacy Practice; Medication Safety: ISMP Best Practice Goal # 8 Smart Pumps ... Research to Accelerate Pharmacist/Pharmacy Innovation and Delivery of Services to Improve Population Health ... 2022; Specialty Pharmacy: Drone Delivery of Specialty Medications; COVID INTERACT - INTeraction Education Focused on Real-Time Assessment ...