Post on 26-Feb-2016
description
transcript
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Bar CodingPresented By:Kelly Dwyer
Objectives
Describe Bar Coding Describe How Bar Coding is Used in Today’s Healthcare Examine Financial Implications Discuss Patient Safety Examine Accuracy of Medication Administration Discuss Advantages/Disadvantages from a Nursing
Perspective
Bar Coding☐ A way to represent data that is fast and easy.
☐ Typically a reference number used to look up data.
☐ First introduced into clinical area of healthcare in mid 1990’s
(HIMSS, 2003)
Bar Coding Efficient way to ID patient Used to administer meds Fast access to patient info Helps prevent med errors Systematic way of charting
(HIMSS, 2003)
Bar Coding
Where can bar codes be found? Patient ID bracelets Medications OR tools Supplies
(Hankin, 2002)
Hardware
Computer
Bar Code Scanner
Keyboard
Mouse
Printer
Labels
(CYBRA, 2010)
Barcode Scannero Optical/laser devicesoInterpret data within barcodeoVarious scanners availableoSaves time and money oEliminates errors
(Azalea, 2009)
Software
Meditech IT Medical Solutions BarControl Code Corporation JADAK
(JAZD Market, 2010)
MEDITECH
Allows nurse to see: Demographic data Allergies Lab results Med/Trans orders Clinical indicators Editable drug monographs
(eMAR) Dose instructions
(Medical Information Technology, Inc, 2010)
Software used for bar coding Status board and electronic chart Easy access to data Helps eliminate med errors
Usability
Software easy to use Uses cognitive walkthrough Software tested prior to launch Field study
( Effken, 2009)
Information System Computer based system Combination of software, hardware and telecommunicationComposed data that is analyzed
(McGonigle & Mastrain, 2009)
Summary of CBIS
Clinical information system
Used by: nurses, physicians, pharmacists, etc.
Functions mainly for documentation purposes
Point of Care configuration
American National Standards Institute (ANSI)
Health Industry Business Communications Council (HIBCC)
(Hankin, 2002)
Summary of CBIS
National Patient Safety Goals
Highly recommended
(Foote & Coleman, 2008)
BCMA Advantages
Medication Administration Safety using 6 rights
Helps identify potential errors Medication administration
accuracy
Easy documentation of meds
Time saver
Cost efficiency
Five Goals for BCMA
1. Increase patient safety
2. Increase patient satisfaction
3. Increase efficiency
4. Increase nursing satisfaction
5. Decrease patient care costs
(Foote & Coleman, 2008)
BCMA Disadvantages
Errors on wristbands at registration
Wrong wristband on patient
Font size on wristband
Scanning bar code can disturb patient
All meds not documented
(McDonald, 2006)
Ethical/Legal Issues
Patient information left on computer screen
Lack of medication observation Documentation errors
Flaws in system
(Foote & Coleman, 2008)
Informatics Competencies
General education on system One on one user instructions Refresher courses Training of power users
(Cummings, Bush, Smith & Matuszewski, 2005)
Functions & Responsibilities of Informatics Nurse
Involved in: Selection, Design, Implementation and Evaluation
Daily use of: Computers, Technology, and Systems
May become super users Use nursing process
(Daurio, 2002)
Summary
Way to identify patients
Bar codes found in many places
Helps prevent med errors
Cost effective
Allows for easy documentation
Increases nursing satisfaction
(HIMSS, 2003)
References• Azalea Software. (2009). Barcode FAQ. Retrieved October 8 2010 from
www.azalea.com • Cummings, J., Bush, P., Smith, D, & Matuszewski, K. (2005). American
Journal of Health-System Pharmacy. Bar-coding medication administration
overview and consensus recommendations. • CYBRA Corporation (2010). CYBRA Bar Code Solutions: Hardware and Labels. Retrieved October 8 2010 from www.cybra.com • Daurio, N.R. (2002). Nurse Week. Nurses Embrace Technology. Retrieved on
November 17 2010 from www.nursingspectrum.com • Effken, J. (2009). Nursing Informatics and the Foundation of Knowledge. Improving the Human-Technology Interface. • Foote, S.O. & Coleman, J.R. (2008). Nursing Economics. Medication Administration: the implementation process of barcoding for medication
administration to enhance medication safety. Retrieved October 29, 2010 from
www.findarticles.com • Hankin, R.A. (2002). Bar Coding in Healthcare- A Critical Solution. Business
Briefing: Medical Device Manufacturing & Technology . Retrieved September 14
2010 from www.hibcc-au.com.au/Reference%20Files/Hankin_pap.pdf
References• HIMSS (2003). Bar Code Technology in Healthcare [DX Reader Version]. Retrieved September 12 2010 from www.mckesson.com • JAZD Markets, Inc (2010). Bar Coding System Companies: Healthcare Bar Coding System. Bar Coding System. Retrieved October 8 2010 from www.jazdhealthcare.com• Medical Information Technology, Inc. (2010). MEDITECH. Patient Care System Functionality Brief. Retrieved October 8 2010 from www.meditech.com• McDonald, C.J. (2006). Annuals of Internal Medicine. Computerization Can Create
Safety Hazards: A Bar-Coding Near Miss. Retrieved on November 17 2010 from www.annuals.org.
• McGonigle, D. & Mastrain, K. (2009). Nursing Informatics and the Foundation of Knowledge. Introduction to Information, Information Science, and Information Systems.•Staggers, Nancy. (2003). Human Factors: Imperative Concepts for Critical Care
Retrieved October 8 2010 from ereserves@psulias.psu.edu