Post on 29-Dec-2015
Bar-Coded Medication Bar-Coded Medication AdministrationAdministration
Jill DiEmedio, RNJill DiEmedio, RN
ObjectivesObjectives
Describe Bar-Coded Medication AdministrationDescribe Bar-Coded Medication Administration
Describe Hardware/SoftwareDescribe Hardware/Software
What is an information system? What is an information system?
What are the Adavantages/Disadvantages of What are the Adavantages/Disadvantages of BCMABCMA
Describe the Legal/Ethical Issues
ObjectivesObjectives
Describe Informatics Competencies
Describe Functions and Responsibilities
Describe a Summary of BCMA
What is Bar-Coded Medication What is Bar-Coded Medication Administration?Administration?
Abbreviated BCMA or BPOCAbbreviated BCMA or BPOC
Barcode systemBarcode system
Prevents medication errorsPrevents medication errors
5 rights of administration5 rights of administration
(Sakowski, 2005)(Sakowski, 2005)
BCMA consists of….BCMA consists of….
Barcode readerBarcode reader
Portable Computer with a wireless Portable Computer with a wireless connectionconnection
A computer serverA computer server
SoftwareSoftware
BCMA HardwareBCMA HardwareHandheld scanning deviceHandheld scanning device
Wireless mobile connectionWireless mobile connection
KeyboardKeyboard
Mobile computer/Cart Mobile computer/Cart
Optional: Palm PDA Optional: Palm PDA
(Siemens, 2005)(Siemens, 2005)
BCMA HardwareBCMA Hardware
Hand held ScannerHand held Scanner
SoftwareSoftwareSiemens Med Administration Check (MAC)Siemens Med Administration Check (MAC)
Siemens PharmacySiemens Pharmacy
INVISION INVISION
Interface with LCR and PYXIS ConnectInterface with LCR and PYXIS Connect
( Siemens, 2005)( Siemens, 2005)
BCMA SoftwareBCMA Software
Siemens Med Administration Check (MAC)Siemens Med Administration Check (MAC)
UsabilityUsability
Axiom #1: Users must be an early and Axiom #1: Users must be an early and continuous focuscontinuous focus
Axiom #2: The design process should be Axiom #2: The design process should be iterativeiterative
Axiom #3: Formal evaluation should take Axiom #3: Formal evaluation should take placeplace
What is an information system? What is an information system?
Siemens med administration checkSiemens med administration check
Proven point-of-care technology
Eliminate medication errors Eliminate medication errors
( Siemens, 2005)( Siemens, 2005)
Information Review CriteriaInformation Review Criteria
Type of information system (IS)Type of information system (IS)
What healthcare professionals use the IS?What healthcare professionals use the IS?
What functions does this IS enable the What functions does this IS enable the users to perform?users to perform?
What configuration is used? What configuration is used?
Information Review CriteriaInformation Review Criteria
What data standards are used?What data standards are used?
What nursing practice standards What nursing practice standards classification scheme is used?classification scheme is used?
Would you recommend this trend?Would you recommend this trend?
Advantages
Improve Patient Safety
Reduce medication errors
Patient satisfaction
Nursing staff satisfaction
(Work, 2005)
Disadvantages
Current number of proven software applications are limited
Relies heavily on being user-friendly and intuitive to the clinical end-user
Solution does not focus specifically on medication errors
(Newell, 2003)
Legal/Ethical Issues
Patient name and identity exposed
Nurses not logging off of computer system
Override function
(Perry, Shah, & Englebright, 2007).
Informatics Competencies
Using computers
Training
Operating MAK
Functions and Responsibilities
Training
Education
Monitor system
(Paoletti, 2007)
Summary
Drugs labeled with unique bar codes
Patient has bar coded wrist band
Pharmacy places order in computer
RN verifies order
Uses 5 rights
Reduces medication errors
Patient safety
ReferencesReferences
Newell LM, Christensen D.,J Healthcare Inf Manag. 2003 Fall;17(4):29-35 Perry, A.,
Paoletti, R.(2007) Bar-code Technology and Observation for Safer Drug Administration: Development of EMAR and BCMA System. American Journal of Health-System Pharmacy.64(5),536-543
Sakowski J. (2005). Using a BCMA. Sakowski J. (2005). Using a BCMA. American Journal American Journal of Health-System Pharmacy. 62(24), 2619-2625of Health-System Pharmacy. 62(24), 2619-2625
References
Shah, M., & Englebright, J. (2007). Improving Safety with Barcode-enabled Medication Administration. Patient Safety & quality Healthcare
Siemens. (2005). Siemens. (2005). Siemens Med Administration Check Siemens Med Administration Check Technology that Helps Reduce Medication errorsTechnology that Helps Reduce Medication errors [Brochure]. Malvern, PA[Brochure]. Malvern, PA
Work M. (2005). Improving Medication Safety with a Work M. (2005). Improving Medication Safety with a Wireless, Mobile Barcode System in a Community Wireless, Mobile Barcode System in a Community HospitalHospital