Transcript RIGHT Patient

The Patient Journey
The Patient Journey
Blood Bank
Medication
Administration
Laboratory
Radiology
Healthcare Estates
Porters
Admissions
Sterile Services
Patient Transfers
Admissions
Patient Identification is KEY
 Currently

» Hand written wristbands
 8.6% of hand written wristband contain incorrect data
 5.7% are illegible to some degree
» No patient identification
Hospital Information System (HIS)
OR Scheduling
System
LAB
Pharmacy
E.R. System
Blood Bank
Workflow: Process Automation
(server based front end applications)
Peripheral Devices
Patient
And yet the patient
is the key component
of any treatment
Where do errors occur?

Mismatching patients with their care
» Given wrong medication
» Wrong blood type administered
» Pathology samples mixed up
» Wrong part of body operated on / removed
during surgery
Solution = Positive Patient ID

Track patient at every
stage of their treatment
Medication
» Medication
administration
Bar coded
» Blood Administration Sample ID
Patient
Wristband
» Sample Management
» Treatment
 X-Ray, surgical etc.
» Non-medical
 Meal orders, patient
billing
Blood Products
Treatment
Benefits of Positive Patient ID

Wristband can have text and barcode
(even RFID)
» Patient name
» Patient ID number (to ref EPR)
» Blood type
» Allergies
» Primary physicians

Pre-printed colours for visual aids
Benefits of Positive Patient ID

Risk Reduction
» Automation of data entry and verification
 Error rate for barcode data entry is less than 1
in 3million scans
» Improved Processes
 re-designed to include scanning
of patients, samples, drugs.
 Eliminates bad working
practices
 Electronic Audit Trial
Benefits of Positive Patient ID

Cost Savings €€€€
» Reduction of errors = reduction of costs to rectify
errors
 average cost per Adverse Drug Event €2,257 (*FDA)
 £2billion cost to NHS in extra bed days due to errors
 Trial at VA hospital showed 86.2% error reduction using
point-of-care scanning for medication
» More Efficient
 Carillon Health System reported savings of 2.75hrs per
12-hour nursing shift after starting to use barcodes as
part of their medication administration
*Federal Drug Administration
Wristband solution from Zebra

Bar coded patient wristbands
» Thermal Transfer
 Z-Band 4000
» Direct Thermal
 NEW Z-Band Direct
 NEW Z-Band QuickClip
» Smart Wristbands (13.56Mhz)

Bar code printers from Zebra
» 2824-Z, 2844-Z – ward based solution
» S600 / Z4M - Admissions
» Network / Printer Management key
Z-Band Direct™

Direct Thermal
» ribbon-less printing


Durable image with
resistance to alcohols,
solvents, water and soaps
1-Piece Wristbands
» Self adhesive closure with
security slits for immediate
adhesion and tamper-evidence

Band Colour
» White, custom colours available
Z-Band QuickClip™

Direct Thermal
» ribbon-less printing

2-Piece Wristbands
» Secure clip fastening, must be
cut to be removed


Durable image with
resistance to alcohols,
solvents, water and soaps
Band Colour
» White, custom colours available
» Coloured clips option
Smart Wristbands™

13.56Mhz RFID wristband
» Read/write capabilities

Non-line of sight ‘scanning’ to read band
» Nurse can read wristbands through
bed sheets and clothes

Direct Thermal
» Ribbon-less printing

2-Piece Wristbands
» Snap closure: tamper proof,
secure locking
Z-Band 4000

Thermal Transfer
» resin ribbon required

Latex free, waterproof, smear
and abrasion resistant
 One-Piece
» Self adhesive closure

Band Colour
» White, custom colours available
The Wristband Family
Material
Z-Band Direct
Z-Band QuickClip
Z-Band 4000
RFID
Description
Adult
Size
1" x 11"
Printer
1", 3"
Fastening / details
security slit/ self adhesive
Child
1" x 7"
1"
security slit/ self adhesive
Neo-Natal
Adult
Adult
Adult
0.75" x 6"
1.2" x 11"
1" x 11"
1.2" x 11.5"
1"
1"
1", 3"
1" (R2844Z)
security slit/ self adhesive
clip fastening
self adhesive
clip fastening / 13.56Mhz
Available to order NOW!
Convenient and Cost Effective – Stocks in place now.
Wristband Printers

Desktop Printer Range
 2”, 4” widths available
 Small and Compact
 Easy to use
 Connectivity
» USB, serial, parallel
» Internal / external Ethernet
» ZebraLink

New media guide Option
for Wristbands
» Ensures registration and
print quality
Media Guides
Case Note / X-Ray ID

Bar code labels for records, X-rays
» Accurate storage and tracking
» RFID??
Medication Administration

Prescription labelling
In pharmacy
» At bedside
»

Trials at Glasgow Royal
Infirmary with mobile
printer on W-LAN

Electronic Prescription
» Barcoded wristbands to ID patients
» Handheld computers used by doctors to
write prescriptions at patients bedside
» Wireless network for immediate data
transfer

Medication delivery verified for right
patient, right medication
Bar coding and medication administration

The ‘5’ Rights
»
»
»
»
Identify the RIGHT Patient
Confirm the RIGHT Medication
Confirm the RIGHT Dosage
Confirm the RIGHT Route
» And the RIGHT Time

The Benefits
» Reduced errors
» Reduced costs associated with errors
» More rapid and accurate documentation
Blood Transfusion Process
Product
Recruit
Screen Donor
Collect &
prepare
Issue
Pre/type
testing
Medical reason
For Transfusion
Administer
(bedside)
Monitor &
Evaluate
Inf Dis tests
Patient
Sample
High Error Processes
*New EU Blood Directive: 2002/98/EC
EU 2002/98/EC

Directive 2002/98/EC of the European Parliament
and of the Council of 27 January 2003
» Chapter V
» Article 14

Traceability
“1. Member States shall take all necessary
measures in order to ensure that blood and blood
components collected, tested, processed, stored,
released and/or distributed on their territory can be
traced from donor to recipient and vice versa.”
Solution…
ID Patient
– Wristband (BC / RFID)
ID Blood Bags
-1y / 2y labels
- Patient ID
ID Samples
- Bar code
Laboratory Sample ID

Bar-coding of
patient samples
»
Accurate recording
of key details

Patient name, DOB,
Doctor
In Ward
 At Bedside
 At GP Surgeries

Case Study

GP surgeries in Scotland
» LP 2824 printer supplied to
each local doctor
 +4000 printers
» Printer links to doctor’s IT
system and prints labels to
identify samples being sent to
lab for testing
» Before
 Only 15% samples carried
correct information
» Now
 98% samples contain accurate
information
Bar code enabled specimen collection

Solution
» Specimen
Container
» Bar-code printer
(lab and portable)
» Bar-code scanner
» Application
Software
–
–
–
–
–
–
–
Right Specimen
Right Container
Right Quantity
Right Time
Right Patient
Right Lab Tests
Right Results
Healthcare Estates

Healthcare Supply Chain
» Stock management, identification
Service & Maintenance
 Asset Identification and tracking

Sterile Services
Surgical equipment tracking
 2D direct marking / Bar-coded label to
track

Surgical equipment at item level
» Surgical kits
»
Porters: Mobile Data
Real time allocation of jobs
 Schedule Management
 Porter becomes multi skilled
 Audit trail

Patient Transfers



Track transfer of patients
from one hospital to another
» Requirement to log data
through all stages of collection
and delivery
Mobile Terminal for data collection
(GPRS,WLAN, Bluetooth)
Mobile Printer for receipt
of delivery