Transcript Why barcode medications?

Why barcode medications?
Admin Rx at the
Medical University of South Carolina
Why barcode medications?
More people die in a given year as a result
of medical errors than from motor vehicle
accidents (43,458), breast cancer
(42,297), or AIDS (16,516).
Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999
Why barcode medications?
Nationally 2 of every 100 admissions experienced
a preventable adverse drug event, resulting in
increased hospital costs of $4,700 per
admission.
This is $2.8 million annually for a 700-bed teaching
hospital.
Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999
Where do medication errors occur?
Ordering
56%
Administration
34%
Transcription
6%
Dispensing
4%
Bates, Cullen, Laird, et al. “Incidence of Adverse Drug Events and Potential Adverse Drug Events.” JAMA, 1995, 274, 29-34.
Why barcode medications?
*Barcode Medication Administration (BCMA) in VA Medical Centers*:
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Right drug
Right dose
Right patient
Right time
Missed meds
75% improvement
62% improvement
93% improvement
87% improvement
70% improvement
*Johnson, Carlson, Tucker, & Willette Using BCMA in VA Medical Centers
Journal of Healthcare Information Management-Vol 16, No.1
Why barcode medications?
*Eastern Kansas Health Care System (VA) 1994-2001*:
• 8,000,000
• 549,000
•
0
doses dispensed
errors prevented
documented errors
Why barcode medications?
*Eastern Kansas Health Care System (VA) 1994-2001*:
• 0 documented errors?
On what does this depend?
• How do we define “error”?
• Doing BCMA the right way
Why barcode medications?
• How do we define “error”?
er·ror
failure of a planned action to be completed as intended (an error of execution)
or the use of a wrong plan to achieve an aim (an error of planning)
• How we define a med error at MUSC?
deviation from what the prescriber intended
Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999
Admin Rx at MUSC
Doing BCMA the right way
• Will we alter the wrist scanning process for
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Isolation patients
Emergency Department
Surgery
NICU, nursery
• Details of dispensed medications
– Half pill ordered, half pill delivered
– Insulin, topicals
– IVF with additives
How we catch medication errorsa closed loop system:
CPOE
(Computerized
Provider Order
Entry)
AdminRx
eMeds (Pharmacy)
Clin Doc