to embrace automation. It became clear as we investigated our options that establishing a centralized production facility to provide medications throughout our health system would allow us to justify the purchase of innovative technologies and construct a facility that would operate under an advanced workflow. Scripps Health System consists of five, commonly owned hospitals, all located within a 50-mile radius. These facilities are of various sizes, ranging from 170 beds up to 400+ beds. A notable difference among the facilities was the different approaches taken to compounding. Much of this variability resulted from the variety of equipment and cleanrooms that had been installed at different points in time. As a result, each of our hospitals had achieved various leve

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