...Medication Bar Code Scanning Bar Code Medication Administration (BCMA) system is a bar code system that was designed to prevent errors in medication administration, save time, give timely feedback, and improve patient safety in the health care field. Not only are these goals of the bar code medication scanning system, but it also improves accuracy and produces online records of the patient’s medication administration in their file (Weston & Roberts, 2013). The bar code scanning system has greatly impacted the medical field in many ways, especially nursing. In this paper, I will specifically be talking about how the bar code medication administration (BCMA) scanning system has impacted nursing, nursing care, and patient outcomes. I will...
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...Reducing Medication Errors In Hospitals Patient centered care and patient safety are the most important roles in nursing. “Serious medication errors are common in hospitals and often occur during order transcription or administration of medication” (Poon et al., 2010. p. 1). According to Seibert (2014), medication errors and related deaths cost the health care system billions of dollars yearly and that at least one error a day happens in all hospitals. “An estimated 450,000 adverse drug events medication errors that result in patient harm occur annually, approximately 25% of which are preventable” (Seibert, 2014. p. 1). One important aspect of nursing is drug administration. It is a multidisciplinary task including doctors, pharmacist...
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...Implementation Guide for the Use of Bar Code Technology in Healthcare Sponsored by Implementation Guide for the Use of Bar Code Technology in Healthcare © 2003 HIMSS 230 E. Ohio St., Suite 500 Chicago, IL 60611 All rights reserved. No part of this publication may be reproduced, adapted, translated, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. HIBCC ® and HIN® System are trademarks of the Health Industry Business Communications Council. ISBN: 0-9725371-2-0 Table of Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi Chapter 1: The Basics What is a bar code? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 How can you benefit from bar coding? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
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...Medication Dispensing Errors and Potential Adverse Drug Events before and after Implementing Bar Code Technology in the Pharmacy Eric G. Poon, MD, MPH; Jennifer L. Cina, PharmD; William Churchill, MS; Nirali Patel, PharmD; Erica Featherstone, BS; Jeffrey M. Rothschild, MD, MPH; Carol A. Keohane, BSN, RN; Anthony D. Whittemore, MD; David W. Bates, MD, MSc; and Tejal K. Gandhi, MD, MPH Background: Many dispensing errors made in hospital pharmacies can harm patients. Some hospitals are investing in bar code technology to reduce these errors, but data about its efficacy are limited. Objective: To evaluate whether implementation of bar code technology reduced dispensing errors and potential adverse drug events (ADEs). Design: Before-and-after study using direct observations. Setting: Hospital pharmacy at a 735-bed tertiary care academic medical center. Intervention: A bar code–assisted dispensing system was implemented in 3 configurations. In 2 configurations, all doses were scanned once during the dispensing process. In the third configuration, only 1 dose was scanned if several doses of the same medication were being dispensed. Measurements: Target dispensing errors, defined as dispensing errors that bar code technology was designed to address, and target potential ADEs, defined as target dispensing errors that can harm patients. Results: In the pre– and post–bar code implementation periods, the authors observed 115 164 and 253 984 dispensed medication doses, respectively...
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...clinical data around medication administration errors compare and contrast the various circumstances that contribute to errors and review current practices used to prevent errors. Medication errors are the adverse events that can harm the patients significantly and in some cases can cause unexpected death as well (Shawahna et al., 2016). Medication errors can occur at any time during prescribing, transcribing, dispensing and administering (Shawahna et al., 2016). When a dose is omitted without the physician order it is also considered a medication error. Many factors contribute the medication errors, such as heavy workload, shortage of staff, especially when someone is doing a double shift, the chances of making an error...
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...Barcoding to Prevent Incorrect Blood Transfusions An Analysis of Evidence Based Practice Nursing 255 October 1, 2011 Abstract In recent years, technology has advanced to heights that were previously unimagined. These advances have given us additional options to combat human errors that we have merely had to cope with in less technologically advanced times. As little as an ounce of the wrong blood during a transfusion can be fatal. Barcoding technology and other similar systems that reduce reliance on human data entry and double-checking have potential to greatly increase productivity and accuracy (Porcella & Walker, 2005). In fact, “Use of bar code technology for patient and product identification is not only a future requirement of the Joint Commission for Accreditation of Healthcare Organizations (JCAHO), but is also a major tool for error reduction. Wireless technology enables use of bar code equipment at the patient bedside, maximizing process efficiencies.” (Porcella & Walker, 2005) This paper reviews and analyzes the effects barcoding technology has had on the field of blood transfusions and patient safety as well as the resistance observed in clinical practices and the limitations on the technology due to cost of deployment. Barcoding to Prevent Incorrect Blood Transfusions An Analysis of Evidence Based Practice On July 22, 2003 a technician at Inova Fairfax hospital went into a patients room to draw blood for a type and...
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...Implementing Barcode Medication Administration in Hospitals Part Three Creating Change in Organizations/HCS587 April 1, 2013 Dr. Sonnia Oliva Change needs to be evaluated after implementation to determine its effectiveness. The organization and management need to continually monitor BCMA to make sure the organization is benefiting from it and to modify components if necessary. Outcome measurement strategies for BCMA are not conclusive but single studies show its positive impact on patient safety. Additionally, cost, quality, and staff satisfaction are important when determining the effectiveness of BCMA and they all support the use of BCMA as technology that increases patient safety. Effectiveness of Organizational Change Organizations evaluate the effectiveness of change after it is implemented to determine if the change is valuable or costly. Effectiveness of BCMA also needs to be determined to ascertain its ability to increase patient safety by decreasing medication errors. Empirical data on BCMA’s effectiveness is limited and data is also inconclusive. Although, data collection conducted by the Veteran Health Administration (VHA) was used to offer suggestions for improved effectiveness. From 1999 to 2003 data was collected by VHA on the barriers that was making BCMA less effective. Laboratory use, nursing informatics, and interviews were used to determine suggestions VHA would recommend to improve BCMA’s effectiveness. The data was given to the VHA’s...
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... Approximately 1.3 million people are injured annually in the United States following "medication errors". The FDA defines a medication error as “any preventable event that may cause or lead to inappropriate medication use or harm to a patient”. The U.S. Food and Drug Administration (FDA) currently review medication error reports that come from drug manufacturers and through Med Watch, the agency's safety information and adverse event reporting program. The agency also receives reports about medication errors from the Institute for Safe Medication Practices (ISMP) and the U.S. Pharmacopeia. Some things the FDA has put into place to prevent medication errors: * Drug Name Review: To minimize drug name confusion, FDA reviews about 400 drug names a year that companies submit as proposed brand names. The agency rejects about one-third of the names that drug companies propose. * Drug Labels: FDA regulations require all over-the-counter (OTC) drug products (more than 100,000) to have a standardized "drug facts label." FDA has also improved prescription drug package inserts for health care professionals. * Drug Labeling and Packaging: FDA works with drug companies to reduce the risk of errors that may result from similar-looking labeling and packaging, or from poor product design. * Bar Code Label Rule: In accordance with an FDA rule that went into effect in 2004, bar...
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...possible consequences of the act/s, which could include expulsion from Indiana Wesleyan University. Thesis The health care industry each years spends millions in medication errors that could be prevented. By implementing a data entry system that would allow access by medical professionals and pharmacies to collaborate and reduce the chance of medication errors dramatically. The data systems are pricy but when compared to the cost of medication errors and loss of lives it saves most medical establishments money. Annotated Bibliography The need for data entry systems to reduce medical errors Rinda, J. (2012). integration helps clinicians reduce medication errors. Health Management Technology , 33 (10), 12-13. With the risks of medication errors endangering lives, the technology has been gearing towards linking smart infusion pumps with health information platforms. Electronic health records have already been developed and are currently being used in some areas. This can lead to reductions in health care costs and increase in workflow. The medication errors could result in 400,000 preventable injuries each year. 1.5 million errors occur in the U.S. each year, resulting in $77 billion in cost annually. The iv integration system which is a form of the medication entry system, resulted in no iv related medication errors within the first 90 days used at Lancaster General Hospital. With the right implementation any healthcare would be able...
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...Flowchart for Inpatient Medication Administration Name: Institutional Affiliation: Flowchart for Inpatient Medication Administration Introduction The medication administration process has a direct impact on the patient’s health and well-being. The evaluation of the medication administration workflow is crucial to ensure that the right procedure is utilized to offer quality care. The proper design of the process makes sure that there is provision of safe, efficient, prompt, and patient-centered care. Also, there is the elimination of cases of medication administration errors in hospitals through the appropriate workflow design. The application of technological elements in the process with proper integration serves to enhance...
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...N311 Dr.Peggy Shipley Shannon McKnight 6/14/2014 2. Introduction According to the Institute of Medicine there are more than a million injuries and almost 100,000 deaths associated with medication administration errors every year in the healthcare profession. Administration of medication is a large part of every day nursing care. As the patient’s primary advocates, it is the nurse’s responsibility to make certain these medication errors do not occur and to uphold the patient’s safety. Hebda & Czar (2013) state, “The desire to reduce or eliminate medication errors focuses attention on computerized physician order entry (CPOE), Bar Code Medication Administration (BCMA), and e-prescribing”. With the growing amount of medication errors, many institutions are introducing the Bar Code Medication Administration System. This is a system that will aid in assuring the right patient is getting the right medication and reduce the risk for medication errors. Although BCMA will not be a remedy for medication errors, it can provide a safeguard that is not possible with manual method. The implementation of the Bar Code Medication Administration system has been highly proven reduce the number of medication errors, improve patient safety, and increase the nurse’s job satisfaction. 3. Barrier to the Implementation Understanding the barriers to change is one of the first important...
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...Barcodes and the Effects on the Medical Field CIS 207 February 4, 2013 Barcodes and the Effects on the Medical Field Barcodes have been an important part of almost every major field. They have been around for almost 75 years, first developed at Drexel University on October 7, 1952 by Joseph Woodland and Bernard Silver. The attained the U.S. patent number 2,612,994 for the current barcode we see today (“Inventing the Barcode”, 2011). Barcodes are an old technology but have still passed the test of time by being a vital part of hospital or healthcare facility operations. The barcodes have just recently seen a major spike in the use of them to track records. According to “Barcode Technology in Healthcare” (2013) section of Wikipedia,” barcode technology in healthcare is the use of optical machine-readable representation of data in a hospital or healthcare setting”. In 1995, the Bar Code Medication Administration (BMCA) was created by a nurse at the Colmery-O’Neil Veteran Medical Center in Topeka, Kansas. It was marketed to many facilities by the Department of Veteran Affairs. The “Barcode Technology in Healthcare” (2013) goes on to say that recent published reports in the early 2000’s have shown a high rate of medical errors and increased healthcare expenses (“Barcode Technology in Healthcare”, 2013). These errors along with the ever growing need to cut costs were the driving force behind the use of barcodes in the healthcare industry. Barcodes are now realistic and applicable...
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...Jenny Windler Student ID: 000329547 Accreditation Audit (AFT2) Task 1 A. Compliance Status Nightingale Community Hospital is a complete and leading healthcare facility that believes in providing the best quality care to all of their patients. As part of Nightingale’s mission to put the patient first, the hospital must meet medication management standards set forth by the hospital and the Joint Commission. Medication management often involves the efforts of multiple services and disciplines. It is part of Nightingale’s policy that a patient’s information is accessible to a physician, pharmacist or nurse in the management of a patient’s medication. Nightingale Hospital has all the policies in place that the Joint Commission looks for to keep the hospital accredited. A1. Plan for Compliance In reviewing the safety of using medication associated with Anticoagulation Therapy, Nightingale Hospital needs some improvement. There was only one month out of the year that patients did not experience any adverse effects related to Anticoagulation Therapy. Numbers were high at the beginning of the year and tapered off by the end of the year, but Nightingale Hospital should be experiencing more months where there are no adverse events. In combination to the Joint Commission’s finding 2 years ago regarding the lack of documented evidence that the patient’s ability/readiness to learn, learning preference, or educational needs were assessed and documented in the file, we have much...
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...Abstract Healthcare unlike many high-risk industries has made slow progress in improving patient’s safety. The role of nursing in improving medication safety has been largely underestimated. Much of the research undertaken to date in relation to adverse medication events has neglected the impact that nurses have or could have in improving patient safety. In examining literature regarding adverse medication events one can see the urgent need for significant improvement in medication practices and processes. In addition that this health care issue will only improve with the participation of all disciplines working towards a common goal of improving the safety of those in our care. Introduction Medications play a key role in healthcare but can also be a significant key cause of medical error and of adverse patient outcomes. Nurses by the nature of their roles in medication administration can be the last line of defense in eliminating or reducing adverse medication events. The administration of medication is a common and almost routine activity in a nurse’s daily work, yet it is fraught with complexity and risk for both the patient and nurse. As a student nurse working in partnership with a registered nurse I have observed a variety of practices in medication administration that have varied from what I have been taught in class. On reflecting on these practices and questioning nurses why such practice has been adopted has illustrated to me both the flawed processes and environment...
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...Information Technology to Improve Patient Safety and Quality of Nursing Care Introduction We are in a great evolution in the way we are gathering data, gaining information, and increasing our knowledge to provide our patients’ with safe quality care. Without information technology (IT) in today’s healthcare industry, it would be impossible to delivery high quality care. The purpose of this paper is to explore data accuracy & safety, data integrity, and the contributions of IT. Data Accuracy and Safety One of the biggest obstacles to interoperability among information systems is the vast amount of medical terms used to describe the same concept. One strategy that is being implemented in IT to increase data accuracy and safety is to ensure that all electronic health records (EHRs) in all hospitals share common standards for data, classifications, coding systems (Qamar, R., Kola, J.S., & Rector, A.L., 2007). The aim is to standardize medical vocabulary to reduce differing interpretation of information and errors resulting from the traditional paper records. This is an accomplishment that groups have been working on for the last decade. The health IT Standards committee has endorsed a single set of vocabulary standards and a single guide for putting them in place for each area of quality reporting measures (Mosquera, 2011). Two work groups, The Systemized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) and The Logical Observation Identifiers Names and Codes (LOINC)...
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