Robots in Medicine
eberry writes "The Cincinnati Children's Hospital Medical Center will use a robot to mix intravenous medications and prepare its syringes. The robot, about the size of three refrigerators strapped together, can fill 300 syringes an hour, each with a custom dose and a bar-code label routing it to a particular patient. The robot should reduce the potential for errors and improve patient safety. The robot still needs further approval by the Ohio State Board of Pharmacy, but that should come within a month. It should be noted that five Cincinnati hospitals already use computerized pill-dispensing systems." On the other hand, reader Bobbert sends in a cautionary note: "'A group of German patients has filed a lawsuit against financially beleaguered Integrated Surgical Systems Inc., alleging that the Davis company' Robodoc surgical robot is defective and dangerous, according to a company filing with the Securities and Exchange Commission.' So now with robotic surgery, both the doctor and the robot can liable for damages. Next thing you know, telecoms will be liable for medical malpractice if the network connections fail during remote robotic surgery."
I've worked with these types of machines for years, they WILL pick up these kinds of errors, but they will also give alot of false positves. Many times the doctors will order more than the maximum dose, in emergencies, in cases where the person is very sick etc. The machine will not dispense "more" than it is programed to. In these instances, I just opened it with a key, and took what I needed. Drove supervisors crazy :-).
The nice things is they pick up on interactions that me, the nurse, or the MD may not even know about.
Save a Life. Donate Blood. Please.
All prescriptions in a hospital are reviewed by a pharmacist before being entered into the computer system. If the hospital has computerized physician order entry, they additionally go through checking as the order is placed. Nurses still take the drug in their hand and review it before they administer it. Humans still review everything.
This replaces the very error-prone menial task of filling up vials with the appropriate dose and concentration of medicines. Assuming the system works as intended, there is absolutely nothing being lost here, only gained.