BD Cato™ brochure

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Now available
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with optional
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camera for visual
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documentation
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11000110110110101000001010100010100100110101001000101010100100100
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Elevating the standard
in IV compounding
BD Cato
TM
Medication Workflow Solutions
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00101011101011000110110101011100101010101000001010100010100100110101001
01101010010001010101001001000010101110101100110100110010101010100000101
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00011000010101000101001001101010010001010101001001000010101110101100011
0010101010100000101010001010010011010100100010101010010010000101011101
00001010111010110001101101010111001010101010000010101000101001001101010
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01010001010010011010100100010101010010010000101011101011000110110101011
11000110000101010001010010011010100100010101010010010000101011101011000
The state of IV compounding:
It’s time for a new standard
Today’s hospital pharmacy administrators are faced with multiple
interconnected challenges1,2:
• Improving medication safety and quality of care
• Streamlining operations to reduce cost
• Advancing pharmacy practices to meet changing times
Evidence suggests room for improvement in
IV compounding workflow
RESULTS FROM A STUDY OF HOSPITAL COMPOUNDING ERRORS 3
91%
CORRECT
9%
ERROR
0%
PHARMACY TECHNICIAN
7%
69%
16%
3%
5%
WRONG DRUG
WRONG DOSE
WRONG FLUID
OMISSION
WRONG TECHNIQUE
Dose variations with the visual-based volumetric method
for chemotherapy compounding have been documented
PHARMACIST
NURSE
• Dose variations ranging
from -64.9% to 94.2%
were recorded4
SELECTS
ADMIXTURE
COMPONENTS
PREPARES
ADMIXTURE
AND AFFIXES
TEMPORARY LABEL
NUMBER OF VOLUMETRIC DOSES
(DOSED IN SYRINGES)
PERCENT DIFFERENCE FROM PRESCRIBED CHEMOTHERAPY DOSE 4
250 TRANSPORTS
ADMIXTURE
OUTSIDE
200
CLEAN ROOM
VISUALLY CHECKS
COMPONENTS
AND VOLUMES;
PULL-BACK VOLUMES
• Nearly 13% of preparations
failed to meet the 10%
acceptable tolerance threshold4
150
100
50
100%
-100%
2 CHECKS
VISUALLY
COMPONENTS
AND VOLUMES
ADMINISTERS
ADMIXTURE
-64.9%
VISUALLY CHECKS
PATIENT NAME, DRUG,
AND VOLUME VS
ORDER AND
CALCULATIONS
94.2%
RESULTS FROM A
91%
CORREC
11000110110101011010101010000010101000101001001101010010001010101001001
10001010101001001000010101110101100011011010101010101000001010100010100
10100010100100110101001000101010100100100001010111010110001100101000001
00101010101000001010100010100100110101001000101010100100100001010111010
10110110101000001010100010100100110101001000101010100100100001010111010
10110001101101010110101010100000101010001010010011010100100010101010010
00100010101010010010000101011101011000110110101010101010000010101000101
10101000101001001101010010001010101001001000010101110101100011001010000
11001010101010000010101000101001001101010010001010101001001000010101110
01101101101010000010101000101001001101010010001010101001001000010101110
The typical clean room
is far from state of the art
RESULTS FROM A STUDY OF HOSPITAL COMPOUNDING ERRORS 3
PERCENT DIFFERENCE FROM PRESCRIBED CHEMOTHERAPY DOSE 4
250
200
150
100
50
Although technologic advancements such as the implementation
of Computerized Provider Order Entry and Bar Code Medication
Administration have been adopted to prevent errors across the
medication management continuum, these efforts have been
conspicuously absent in the realm of IV compounding.
91%
CORRECT
9%
ERROR
100%
%
-64.9
%
94.2
%
7%
69%
16%
3%
5%
WRONG DRUG
WRONG DOSE
WRONG FLUID
OMISSION
WRONG TECH
Workflow processes may be inefficient, often
involving multiple transitions among personnel
PHYSICIAN
PHARMACIST
PHARMACY TECHNICIAN
GENERATES
MEDICATION
ORDER
RECEIVES AND
APPROVES
ORDER
SELECTS
ADMIXTURE
COMPONENTS
PRINTS LABELS
FOR IV
ADMIXTURE
VISUALLY CHECKS
COMPONENTS
AND VOLUMES
PHARMACIST
NURSE
PREPARES
ADMIXTURE
AND AFFIXES
TEMPORARY LABEL
TRANSPORTS
ADMIXTURE
OUTSIDE
CLEAN ROOM
ADMINISTERS
ADMIXTURE
VISUALLY CHECKS
COMPONENTS
AND VOLUMES;
PULL-BACK VOLUMES
VISUALLY CHECKS
PATIENT NAME, DRUG,
AND VOLUME VS
ORDER AND
CALCULATIONS
PLACES
PERMANENT LABEL
ON PRODUCT
3
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00101011101011000110110101011100101010101000001010100010100100110101001
01101010010001010101001001000010101110101100110100110010101010100000101
01000101001001101010010001010101001001000010101110101100011011010101110
00011000010101000101001001101010010001010101001001000010101110101100011
0010101010100000101010001010010011010100100010101010010010000101011101
00001010111010110001101101010111001010101010000010101000101001001101010
10011010100100010101010010010000101011101011001101001100101010101000001
01010001010010011010100100010101010010010000101011101011000110110101011
11000110000101010001010010011010100100010101010010010000101011101011000
BD Cato™: Where safety
meets efficiency
BD Cato™ Medication Workflow Solutions is a software system that
was developed to advance the process of IV compounding. With its
real-time gravimetric and bar code verification—in tandem with a
step-by-step guidance system—BD Cato™ is designed to simultaneously
minimize errors while improving efficiency.
BD Cato
TM
Medication Safety—Designed
BD Cato to minimize probability of errors
PRESCRIBE
TRANSCRIBE
PREPARE
DISPENSE
TM
ADMINISTER
BD
Cato
PRESCRIBE
TRANSCRIBE
PREPARE
DISPENSE
ADMINISTER
in IV compounding
through
a combination
of gravimetrics
and
PRESCRIBE
TRANSCRIBE
PREPARE
DISPENSE
ADMINISTER
bar code verification
PHARMACY
TM
INFORMATION
SYSTEM
DOSE ORDER
PRIORITIZATION
BD Cato
PHARMACY
DOSE ORDER
INFORMATION
PRESCRIBE PHARMACY
TRANSCRIBE
PREPARE
PRIORITIZATION DISPENSE
SYSTEM
INVENTORYINFORMATION
PICK LIST AND DOSE ORDER
MANAGEMENT SYSTEM
INVENTORY PRIORITIZATION
TM
Workflow
Efficiency
—Standardizes workflow and removes
SOFTWARE
RECOMMENDATION
redundant steps to help lower costs
$
INVENTORY
PHARMACY
MANAGEMENT
INFORMATION
SOFTWARE
INVENTORY
SYSTEM
$
$
ADMINISTER
MANAGEMENT
SOFTWARE
$
$
$
$
$
$$
INVENTORY
MANAGEMENT
PHARMACY
SOFTWARE
INFORMATION
SYSTEM
RECOMMENDATION
PICK LIST AND
INVENTORY
RECOMMENDATION
FINAL PHARMACIST
VERIFICATION IV ADMIXTURE
IV ADMIXTURE
Inventory Optimization
—Helps reduce waste by optimizing use
PREPARATION
of drugs in the preparation of IV admixtures
$
$
PICK LIST AND
DOSE ORDER
INVENTORY
PRIORITIZATION
RECOMMENDATION
PICK LIST AND
IV ADMIXTURE
INVENTORY
PREPARATION
PHARMACY
INFORMATION
SYSTEM
PHARMACY
INFORMATION
SYSTEM
PREPARATION
IV ADMIXTURE
FINAL PHARMACIST
PREPARATION
VERIFICATION
FINAL PHARMACIST
Documentation, Compliance,
and Analytics—
VERIFICATION
PHARMACY step to enable compliance and leverages data analytics
Documents every
FINAL PHARMACIST
INFORMATION
VERIFICATION
SYSTEM
to monitor productivity
in the clean room
Support for the use of gravimetrics
is gaining momentum
• ASHP and USP <797> support the use of gravimetrics as a validation
technique in the IV compounding process5,6
4
• Latest guidelines from the Institute for Safe Medication Practices (ISMP)
state that the syringe pull-back method of verification should NOT be used
in the compounding of chemotherapeutic or pediatric/neonatal therapies7
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10001010101001001000010101110101100011011010101010101000001010100010100
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00101010101000001010100010100100110101001000101010100100100001010111010
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11001010101010000010101000101001001101010010001010101001001000010101110
01101101101010000010101000101001001101010010001010101001001000010101110
BD Cato™: Step-by-step guidance
for your clean room
BD Cato
TM
PRESCRIBE
TRANSCRIBE
PREPARE
PHARMACY
INFORMATION
SYSTEM
DOSE ORDER
PRIORITIZATION
INVENTORY
MANAGEMENT
SOFTWARE
PICK LIST AND
INVENTORY
RECOMMENDATION
DISPENSE
ADMINISTER
IV ADMIXTURE
PREPARATION
PHARMACY
INFORMATION
SYSTEM
FINAL PHARMACIST
VERIFICATION
5
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10101010100000101010001010010011010100100010101010010010000101011101011
10111010110011010011001010101010000010101000101001001101010010001010101
00100100001010111010110001101101010111001010101010000010101000101001001
01000101010100100100001010111010110001101101101010000010101000101001001
™
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01010101010000010101000101001001101010010001010101001001000010101110101
01011101011001101001100101010101000001010100010100100110101001000101010
10010010000101011101011000110110101011100101010101000001010100010100100
00100010101010010010000101011101011000110110110101000001010100010100100
01101010010001010101001001000010101110101100011011010101101010101000001
00101010101000001010100010100100110101001000101010100100100001010111010
10101110101100110100110010101010100000101010001010010011010100100010101
01001001000010101110101100011011010101110010101010100000101010001010010
10010001010101001001000010101110101100011011011010100000101010001010010
• Market-tested product
00110101001000101010100100100001010111010110001101101010110101010100000
with more than
1001010101010000010101000101001001101010010001010101001001000010101110
200 global customers
000010101110101100110100110010101010100000101010001010010011010100100
000101010100100100001010111010110001101101010111001010101010000010101
• Robust interface engine
010010011010100100010101010010010000101011101011000110110110101000001
that enables data import
0010101000101001001101010010001010101001
00101010101000001010100010
and export
000101010001010010011010100100010101010010010000101011101011000110110
101110101100011011010101010101000001010100010100100110101001000101010
• 24/7 technical and
100100010101010010010000101011101011000110010100000101010001010010011
customer support
010101000101001001101010010001010101001001000010101110101100011000010
00000101010001010010011010100100010101010010010000101011101011
0010
110110101011010101010000010101000101001001101010010001010101001001000
000101010100100100001010111010110001101101010101010100000101010001010
010101000101001001101010010001010101001001000010101110101100011001010
101011100101010101000001010100010100100110101001000101010100100100001
11010110001101101101010000010101000101001001101010010001010101001001000
001000010101110101100011011010101101010101000001010100010100100110101
010001010010011010100100010101010010010000101011101011000110110101010
BD Cato™ Medication Workflow Solutions is designed to minimize
101001100101010101000001010100010100100110101001000101010100100100001
the probability of errors in IV compounding through the use of an
010101110101100011011010101110010101010100000101010001010010011010100
interactive display, bar code scanner, and gravimetric scale.
10101010010010000101011101011000110110110101000001010100010100100110101
1010100100010101010010010000101011101011000110110101011010101010000010
• Uses real-time gravimetric verification that alerts pharmacist of
1001010101010000010101000101001001101010010001010101001001000010101110
potential errors
000010101110101100110100110010101010100000101010001010010011010100100
• Features bar code technology designed to detect dosing errors
000101010100100100001010111010110001101101010111001010101010000010101
related to incorrect selection of drug, diluent, and final container
010010011010100100010101010010010000101011101011000110110110101000001
0010101000101001001101010010001010101001
00101010101000001010100010
• Calculates drug and diluent quantities
needed to compound
Medication
000101010001010010011010100100010101010010010000101011101011000110110
prescribed admixtures
Safety
101110101100011011010101010101000001010100010100100110101001000101010
• Provides immediate notification of errors and provides steps on
100100010101010010010000101011101011000110010100000101010001010010011
how to correct a mistake
010101000101001001101010010001010101001001000010101110101100011000010
00000101010001010010011010100100010101010010010000101011101011
0010
• Verifies that doses are prepared within institutional tolerances
110110101011010101010000010101000101001001101010010001010101001001000
• Enables pharmacist to verify admixture preparations remotely
000101010100100100001010111010110001101101010101010100000101010001010
• Does not print patient label until all steps are completed correctly
010101000101001001101010010001010101001001000010101110101100011001010
101011100101010101000001010100010100100110101001000101010100100100001
• Allows pharmacist to view final label and validate that admixture
11010110001101101101010000010101000101001001101010010001010101001001000
was prepared correctly
6
001000010101110101100011011010101101010101000001010100010100100110101
010001010010011010100100010101010010010000101011101011000110110101010
101001100101010101000001010100010100100110101001000101010100100100001
BD Cato : Elevating the
standard in IV compounding
101010101000001010100010100100110101001000101010100100100001010111010110001101101010111
10001101101010101010100000101010001010010011010100100010101010010010000
10010010000101011101011000110010100000101010001010010011010100100010101
11010100100010101010010010000101011101011000110000101010001010010011010
11010100100010101010010010000101011101011
BD Cato™ Medication Workflow 001010101010000010101000101001
Solutions can help you improve your
01010001010010011010100100010101010010010000101011101011000110110101011
pharmacy’s workflow efficiency in various ways:
11000110110101010101010000010101000101001001101010010001010101001001000
01001001000010101110101100011001010000010101000101001001101010010001010
• Standardizes IV compounding processes through structured and
Workflow
01101010010001010101001001000010101110101100011000010101000101001001101
uniform protocol
011010100100010101010010010000101011101011
00101010101000001010100010100
Efficiency
• Helps reduce the number of manual quality-control checks that may
10101000101001001101010010001010101001001000010101110101100011011010101
be required in the preparation process
01100011011010101010101000001010100010100100110101001000101010100100100
• Captures digital data on preparation times and drug waste to help
10100100100001010111010110001100101000001010100010100100110101001000101
you identify and analyze areas where improvement is needed
00110101001000101010100100100001010111010110001100001010100010100100110
0011010100100010101010010010000101011101011 0010101010100000101010001010
01010100010100100110101001000101010100100100001010111010110001101101010
0101100011011010101010101000001010100010100100110101001000101010100100
001010101001001000010101110101100011001010000010101000101001001101010
100010100100110101001000101010100100100001010111010110001100001010100
101010001010010011010100100010101010010010000101011101011001010101010
01001001101010010001010101001001000010101110101100011011010101101010101
• Helps track and manage your inventory—
010101110010101010100000101010001010010011010100100010101010010010000
including partially used vials—to minimize waste
010010010000101011101011001101001100101010101000001010100010100100110
101010010001010101001001000010101110101100011011010101110010101010100
• Determines and recommends the best vial sizes for
010100010100100110101001000101010100100100001010111010110001101101101
Inventory
preparation before your staff enters the
01010101000001010100010100100110101001000101010100100100001010111010110
clean room
Optimization
001010111010110001101101010111001010101010000010101000101001001101010
• Designed to reduce waste of expensive drugs
001001101010010001010101001001000010101110101100110100110010101010100
during the IV compounding process by minimizing
000001010100010100100110101001000101010100100100001010111010110001101
workflow errors and reworks
101011101011000110000101010001010010011010100100010101010010010000101
00101011101011
0010101010100000101010001010010011010100100010101010
100100010101010010010000101011101011000110110101011100101010101000001
010101000001010100010100100110101001000101010100100100001010111010110
101011101011000110010100000101010001010010011010100100010101010010010
010001010101001001000010101110101100011000010101000101001001101010010
100100010101010010010000101011101011
0010101010100000101010001010010
0101000101001001101010010001010101001001000010101110101100011011010101
0101100011011010101010101000001010100010100100110101001000101010100100
BD Cato™ Medication Workflow Solutions provides automated
001010101001001000010101110101100011001010000010101000101001001101010
data capture that enables documentation, compliance, and
100010100100110101001000101010100100100001010111010110001100001010100
production analytics.
101010001010010011010100100010101010010010000101011101011001010101010
01001001101010010001010101001001000010101110101100011011010101101010101
• Provides fully automated documentation and a complete
010101110010101010100000101010001010010011010100100010101010010010000
audit trail of each compounding procedure
010010010000101011101011001101001100101010101000001010100010100100110
• Maintains a database of all prepared medications and features
101010010001010101001001000010101110101100011011010101110010101010100
010100010100100110101001000101010100100100001010111010110001101101101
Documentation
a bar code–based tracking system for easy access
01010101000001010100010100100110101001000101010100100100001010111010110
and Analytics
• Stores key preparation details, including actual dose used,
001010111010110001101101010111001010101010000010101000101001001101010
preparer’s name, and products used, as well as each product
001001101010010001010101001001000010101110101100110100110010101010100
NDC number, lot number, and expiration date
000001010100010100100110101001000101010100100100001010111010110001101
• Offers step-by-step guidance and multiple safety checks to help
101011101011000110000101010001010010011010100100010101010010010000101
you comply with the USP guidelines (<797> pharmaceutical
00101011101011
0010101010100000101010001010010011010100100010101010
compounding—sterile preparations)6
7
100100010101010010010000101011101011000110110101011100101010101000001
010101000001010100010100100110101001000101010100100100001010111010110
101011101011000110010100000101010001010010011010100100010101010010010
010101010100000101010001010010011010100100010101010010010000101011101
1000110110101011010101010000010101000101001001101010010001010101001001
001010111010110001101101010111001010101010000010101000101001001101010
0001010101001001000010101110101100011011010101010101000001010100010100
0110101001000101010100100100001010111010110011010011001010101010000010
100010100100110101001000101010100100100001010111010110001100101000001
0100010100100110101001000101010100100100001010111010110001101101010111
1010101010000010101000101001001101010010001010101001001000010101110101
001100001010100010100100110101001000101010100100100001010111010110001
110110101000001010100010100100110101001000101010100100100001010111010
BD Cato™: Elevating the standard
in IV compounding
Medication Safety
More than
15 million
gravimetric doses
compounded
worldwide*8
Workflow Efficiency
Inventory Optimization
Documentation and Analytics
Interoperability
• Provides data messaging between existing HIS and
BD Cato™ Medication Workflow Solutions software via HL7 interface
Support
• Comes with dedicated 24/7 technical and customer support
• Backed by BD, a company dedicated for more than a
century to helping all people live healthy lives
Ready to elevate
your pharmacy’s
standards?
Call 1.855.489.CATO
E-mail [email protected]
Visit www.bd.com/cato to see
BD Cato™ Medication
Workflow Solutions
in action!
*All admixtures prepared using gravimetric verification. Total estimated preparations, as of 9/30/14.
References: 1. ASHP Strategic Plan. Bethesda, MD: American Society of Health-System Pharmacists; 2013. 2. Pharmacy
Automation: Technologies and Global Markets. Wellesley, MA: BCC Research; March 2014. Report IAS026D. 3. Flynn EA,
Pearson RE, Barker KN. Observational study of accuracy in compounding i.v. admixtures at five hospitals. Am J Health Syst Pharm.
1997;54(8):904-912. 4. Poppe LB, Savage SW, Eckel SF. Assessment of final product dosing accuracy when using volumetric
technique in the preparation of chemotherapy [published online ahead of print September 2, 2014]. J Oncol Pharm Pract.
doi:10.1177/1078155214549489. 5. American Society of Health-System Pharmacists. ASHP guidelines on the safe use of
automated compounding devices for the preparation of parenteral nutrition admixtures. Am J Health Syst Pharm. 2000;57(14):
1343-1348. 6. The United States Pharmacopeial Convention. <797> pharmaceutical compounding—sterile preparations. 2008.
http://www.pbm.va.gov/linksotherresources/docs/USP797PharmaceuticalCompoundingSterileCompounding.pdf. Accessed November 17,
2014. 7. Institute for Safe Medication Practices. Proceedings from the ISMP Sterile Preparation Compounding Safety Summit:
guidelines for SAFE preparation of sterile compounds. 2013. http://www.ismp.org/tools/guidelines/IVSummit/IVCGuidelines.pdf.
Accessed November 17, 2014. 8. Data on file. BD.
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