Disruptive technologies in pharmacy, reality or myth?
There was an interesting thread in one of the ASHP practice forums recently. Someone asked whether or not pharmacists were “ready for the future that the opportunities these disruptive technologies...
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Chapter 8: First things first
Several years ago, shortly after I was let go from Talyst, I found myself with some free time on my hands. I started writing a book. The book was titled ‘Making the right choice: Helping pharmacies...
View ArticleToday’s sterile compounding climate is a lesson on availability cascades
I’ve been slowly reading ‘Thinking, Fast and Slow’, a best-selling book by Daniel Kahneman, a Nobel Prize winning psychologist and economist known for his work on the psychology of judgment and...
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Pharmacy Integration is Starting to Make Sense
I’ve been writing about the need for pharmacy integration for years. Most of it negative, and deservedly so because it’s been lousy. With that said, things appear to have changed in recent years....
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The impact of COVID-19 on Pharmacy Personal Protective Equipment (PPE)
COVID-19 has taught us many things, among them that our healthcare supply chain is poorly designed and flimsy. Just a few weeks into the pandemic and our supply chain for Personal Protective Equipment...
View ArticlePharmacy – Lessons from a pandemic
Quite some time ago I took to writing things down in a paper rather than digital notebook. This morning, as people will do when they are bored, I picked up one of those notebooks and began thumbing...
View ArticlePharmacy – Relying on 503Bs is a mistake
What’s a 503B FDA outsourcing facility? Well, just sit right back and you’ll hear a tale, a tale of a fateful trip, that started from this tropic port, aboard this tiny ship…. just kidding, it’s what...
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Remdesivir, the pharmacy budget buster
I saw the discussion below in one of the pharmacy forums. Fact check true on this one. Gilead would have everyone believe that remdesivir is a magic bullet for COVID-19 infection. Not true. Helpful?...
View Article25 Years a Failed Career
I recently took a job as the Director of Pharmacy for a medium sized – just over 400 beds – acute care hospital a couple of hours away from my home in Fresno. I never wanted to be a director. I always...
View ArticleSterile compounding optimization during COVID-19
From January 2020 until March of 2022, I was one of two inpatient pharmacy supervisors at Community Regional Medical Center (CRMC) in Fresno, California. CRMC is a big level one trauma center. They...
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