McKesson vs Pyxis cabinets
Adam
joined a few other groups/ listserve/ forums etc. Lets hope this one
generates more useful discussion than some of the others.
If anyone is up to it would you mind sending me your info or analysis
on the advantages/ disadvantes, likes and or dislikes between these 2
ADCs? We are on contract to switch to Accudose from Pyxis. We might
have an opportunity to amend the contract, so I need some bullets for
my guns. I'll leave it up to you to decide which side I'm on as far as
the switch goes. I've talked to one person that has switched from
Pyxis to Accudose and it seems they are not happy with the change.
We are currently using Pyxis Medstation 2000, Pyxis anesthesia, we do
not have a Pyxis C-II safe. We use McKesson HMM for our pharmacy
system and Omnicell's Omnilink for fax image of physician orders. We
also have a JV 240BX Pacmed machine that does not work well for us.
Thank you in advance for your feedback.
Adam
GMil...@mbhs.org
experienced the same nursing dissatisfaction you described. However, 5
years have past and those complaints have faded. Nobody likes change.
For us, it was a matter of money. A "bundle" of software (including
Admin-Rx and HEO) and hardware (including Robot-Rx and MedCarousel) made it
almost impossible NOT to go with AcuDose. Pyxis simply was nowhere in the
ballpark as far as cost was concerned....and for some reason that was a big
issue with those in the C Suite.
We were aware of the less user-friendly nature of AcuDose vs Pyxis, but
were also converting from a decentralized dispensing model to a hybrid
one.....which was going to decreased nursing ADM usage anyway. Our
concerns about user satisfaction were confirmed, but so were our estimates
of fewer transactions. Were we going to stick with decentralized
dispensing, the greater ease and speed of Pyxis would certainly have been a
much larger issue.
Regarding capabilities/operations, both do the same thing. Regarding
barcode capabilities, both are essentially the same. Regarding
reliability, I would have to say our AcuDose machines have been less
robust/reliable than our Pyxis 2000's, but they are also more complex since
we went with all lidded drawers (HC drawers) and unit dose drawers vs the
matrix and carousel drawers in our Pyxis. Had we gone with Pyxis and the
cubie option, we may have experienced similar reliability issues. Both
work equally well with HMM. We have BPOC so have not investigated AcuDose
vs Pyxis emar capabilities.
Overall, I would have to say our experience with Pyxis was better than we
have had with AcuDose but then again, everything was simpler back then.
One thing I have learned.....money talks.
George H. Milstead
Director of Pharmacy
Mississippi Baptist Medical Center
gmil...@mbhs.org
Tel: 601-974-6242 Fax: 601-960-3319
Adam
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David Breeze
MedCarousels, NarcStation and ADS. I have never administered a Pyxis
system, but when I ask nurses who have experience with both, none of
them have expressed a strong preference for one over the other. One
factor to consider is your long range goals for automation and software.
If you plan to add new components, there are reasons to go with one
vendor who can supply everything even if one of that vendor's offerings
is not the best of breed. As George Milstead said in his reply, pricing
is probably the biggest advantage. System integration is another big
plus. It minimizes the number of interfaces and provides a central
database that can easily be tapped for information.
David Breeze, RPH
Technology Systems Coordinator
Wake Forest University Baptist Medical Center
(336) 713-3413
dbr...@wfubmc.edu
Brookins, Leslie
Hi Adam -
We made the switch from Pyxis
to Acudose approximately 18 months ago. Initially it was very
difficult. The cabinets did not have several of the features that Nursing
and Pharmacy relied on. Since our go-live things have gotten much
better. McKesson has upgraded their system twice, each time adding
features that we requested. They have redesigned their cabinets to make
them shorter, have added Biometric fingerprint login (only requires the
fingerprint/no username or password), scan on refill, permanent (standard) meds,
made numerous narcstation improvements, and more. There are still a few
things that Pyxis has and Acudose does not (Dispense by Time and My Patients are
two big ones for the Nurses), however, they are catching up quickly. A
year ago I would have recommended staying with Pyxis. Now I have changed
my mind. If we had to do it again, I would vote to switch to Acudose for
the long-term benefits (we have numerous other McKesson products).
You will likely experience a few short-term losses of functionality
but not too many at this point.
Pharmacy I.T. Coordinator
Saint Luke's Health System
phone: 816-932-3927
fax: 816-932-3710
pager: 816-440-3898
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Subject: McKesson vs Pyxis cabinets
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