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Walgreens Turns to Prescription-Filling Robots to Free Up Pharmacists

44 点作者 lxm超过 2 年前

16 条评论

hn2022hn2022超过 2 年前
Pharmacists are the last barrier for the patient to make sure the scripts written by the doctor&#x2F;s don&#x27;t kill the patient.<p>Pharmacy techs are the ones that fill the scripts, but the pharmacist is ultimately responsible that it&#x27;s correct.<p>Pill filling robots are great if you&#x27;re filling the same 10 scripts, but not very useful when dealing with complex and compounding scripts.<p>My father was a pharmacist and we owned an independent pharmacy and I remember how often the scripts written by the doctor was so wrong and had it not been caught it would have killed the patient.<p>Knowledge of drug interactions are key, but these days new pharmacists just look up online, so a pill filling robot could work.
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avnigo超过 2 年前
I honestly never quite understood why prescriptions in the US need to be <i>literally</i> filled, when in the EU, for example, you can just walk up with your prescription to any pharmacy and buy a prepackaged blister pack of the medicine you need.<p>Not only do blister packs save so much waiting time — you never have to wait for it unless it&#x27;s out of stock — but it also feels like there&#x27;s less chance for anything to go wrong when manually handled by the pharmacist, factoring cross-contamination or incorrect filling, even though the pharmacists would either way be liable for it.<p>Blister packs are verifiably sealed by the manufacturer, you&#x27;re more likely to tell if they&#x27;ve been tampered with, you don&#x27;t have to worry about moisture seeping into the excipient and interacting with the active ingredients, and they provide a visual representation of how many pills you have already taken, without needing to count pills in a bottle.
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duffpkg超过 2 年前
Healthcare executive 20 years, wrote Hacking Healthcare for O&#x27;Reilly... So long as this is used for routine filling of routine medications with low risks I think this can work. However it is also my opinion that Walgreens is a very, very poorly run organization. If you followed the Theranos story and documents you can see just how poorly.<p>To the people saying pharmacists should not be involved at all, that is insane. Prescription errors are a very large source of preventable error that causes significant harm. Lots of error cannot be solved by computer because it lacks the information, like identity, drug and dosing errors. There are a lot of inputs that only a human can evaluate at dispensing time. This robotic filling, as I read it, does not necessarily prevent that.<p>For reference, there are roughly ~110 million possible drug formulations (drug x dose x route etc) that are currently legally dispensable and distinct, in the US. Any drug can interact with any other, different dose x route x drug combinations may interact differently. A large set of the population is on dozens of drugs simultaneously. Taking into account the patients age&#x2F;weight&#x2F;race&#x2F;level of sickness is important and makes the overall matrix very very large for raw computation.<p>You might then say: well humans aren&#x27;t good at a matrix that large either, that is in some ways true but humans are pretty good at detecting exceptional circumstances even though though they are not rotely walking that large key space. It is also true that there is a heavy weighting towards about 1,000 much more common drugs. It is not a new idea to add computers to interactions&#x2F;dispensing&#x2F;etc. It has been tried for 20 years, the outcome results of many efforts have been poor.<p>A gold standard in pharmacy interactions is to maximize the amount of time between pharmacist and patient. Pharmacists aren&#x27;t pill monkeys rotely stuffing things in bottles. They have important diagnostic, education and safety functions. Especially when they can see and interact with the patient. If there was any true broad economic incentive to be preventative pharmacists would take your vitals and temperature as well but currently our system does not make that economic.
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jmount超过 2 年前
In a non-compounding pharmacy (which is what most pharmacies are now days) I presume they are not making pills or capsules. So one could eliminate almost all of the chain if pills just came pre-packaged in containers closer to what is given to the consumer. I.e.: put this stuff in small jars at the factory with a machine.
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chevman超过 2 年前
Interesting it took them this long to purse the opportunity here.<p>Something like 10-20 drugs make up like 80% of the maintenance meds dispensed in the US daily.<p>Supply chain efficiencies like this were monetized 20+ years ago by most of the major PBMs&#x2F;health plans (look at their &#x27;mail order dispensing pharmacies&#x27; to see them in action).<p>Doing a regionalized fulfillment play for your high volume geographies will likely save hundreds of millions in opex i&#x27;m guessing.<p>Will be curious to see if WBA can scale as quickly as they want here. I&#x27;m sure there are many industry partners who could lend a hand :)
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DoktorDelta超过 2 年前
Presumably this will prevent pharmacists from denying people their prescriptions on religious grounds, which would be a welcome change.
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ck2超过 2 年前
Doesn&#x27;t &quot;free up&quot; actually, eventually mean &quot;fire&quot;? Reduce employment costs?<p>Like kiosks at fast-food places?<p>Personally I&#x27;m sticking to mail-order rx for the rest of my life, pretty sure I caught covid at the pharmacy from the pharmacist who was refusing to mask. Imagine how filthy that checkout pad is at the pharmacy with every sick person touching it. Plus the prices are much more competitive.
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CompleteWalker超过 2 年前
This is interesting to me, as I try to change careers with no degree. I recently applied for the Walgreens Pharmacy Tech Apprenticeship.[^1] But, it seems like those jobs will be automated away soon too... I&#x27;m really looking for a tech support job, but options are limited in this small town.<p>[^1]<a href="https:&#x2F;&#x2F;jobs.walgreens.com&#x2F;en&#x2F;pharmacy#grid-content-1-2" rel="nofollow">https:&#x2F;&#x2F;jobs.walgreens.com&#x2F;en&#x2F;pharmacy#grid-content-1-2</a>
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greenyoda超过 2 年前
Archive with full text of article: <a href="https:&#x2F;&#x2F;archive.ph&#x2F;AxyKF" rel="nofollow">https:&#x2F;&#x2F;archive.ph&#x2F;AxyKF</a>
Overtonwindow超过 2 年前
Probably not a popular opinion, but I think we can do away with the vast majority of pharmacist. There are machines that can properly identify, sort, bottle, label, and provide prescriptions with little to no human intervention. All it seems the pharmacist does is pop bottles, fill prescriptions, file insurance claims over and over and over again.
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banana_giraffe超过 2 年前
My local pharmacy has a pill dispensing robot for the common prescriptions. This story seems to be more about centralizing the workload to some big locations than it is incidentally about the robots.<p>It&#x27;s going to be fun to be on the front line when this new chain borks up and some bignum% of your customers can&#x27;t pick up their Rx for a few days.
ourmandave超过 2 年前
Once Walgreens proves it works, won&#x27;t take long for every other pharmacy to follow.
sizzle超过 2 年前
<a href="https:&#x2F;&#x2F;archive.ph&#x2F;AxyKF" rel="nofollow">https:&#x2F;&#x2F;archive.ph&#x2F;AxyKF</a>
linuxftw超过 2 年前
What a needlessly complex, pointless machine. Reminds me of the brick-laying robot.
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throwaway81523超过 2 年前
Pharmacists usually don&#x27;t fill prescriptions in the sense of counting out the pills into the bottles. Pharmacy technicians do that. Pharmacists have a lot more training and have to be able to discuss drug interactions and side effects with patients, etc. Article is paywalled but it is technicians, not pharmacists, that they are trying to &quot;free up&quot;.
jordemort超过 2 年前
I&#x27;ve been a Walgreens customer since birth, but after multiple incidents of vaccination appointments getting blown off and lost prescriptions and test results I moved all my prescriptions somewhere else earlier this year. They can&#x27;t keep their pharmacies staffed. Getting prescriptions filled by a robot sounds like it would feel unsafe, but getting prescriptions filled by an overworked skeleton crew felt pretty unsafe too. I hope the robot isn&#x27;t from the same team that built those awful always-busted screens they have on their drink coolers now that keep you from seeing what is in them.