Transcript Bar Coding for Medication Administration

Group 9
Heather Cason
Kevin Cooper
Daron Gilmore
Jason Lee
Murtaza Qureshi
Josh Wallace
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1999 the Institute of Medicine estimates that 44,000 98,000 people die each year in hospitals due to medical
errors, averaged that’s 1 : 3,841 US citizens
Adverse drug events accounted for up to 7,000 of those
deaths
Adverse drug effects resulted in an increased average
hospital cost of $4,700 per admission
Nationally the amount increases to about $2 billion
2004 FDA requires barcodes to be put on labels of
medications
FDA estimates bar-code rule will result in 50% increase in
medication error detection
Requirement makes hospital point-of-care administration
systems easier and less expensive
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BCMA is a software that utilizes barcode
technologies in combination with real-time
Ethernet local area network (LAN) connectivity
with a centralized computer.
Was developed in 1995 at the VA Medical
Center in Topeka, Kansas and went worldwide
in 2000.
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The BCMA enables nurses to validate and
document the administration of medications.
The nurse scans her employee ID, then scans the
patients wristband, then the medication is
administered to the patient.
Once the scanned data is in the system it checks
the system to verify the “five rights”:
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Right
Right
Right
Right
Right
patient
drug
dose
route
time
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The Beloit Memorial Hospital in Wisconsin
implemented the BCMA in July 2003, in their
Family Care Center (FCC).
Within the first 4 months they noticed a 67%
decrease in medication administration errors.
After seeing the outstanding results in using
the BCMA system they implemented it in their
Special Care Center (SCC), Multi Care Center
(MCC), Intermediate Care Center (ICC), and
Critical Care Center (CCC)
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Beloit Memorial Hospital did preimplementation and post-implementation
studies and found that after the BCMA system
was implemented in all 5 centers they
reduced their errors by 82% from Sept 03Nov 04.
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The main purpose
of the
administration of
Bar Coding is for
the Doctor and
nurses to follow the
5 rights and try to
prevent more
medical errors.
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Overdosing and the
wrong medication
being administered
are some of the
major medical
errors.
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5 Rights of Medical Administration:
◦ - Right Patient – make sure that the patient is the
correct person who gets the medication
◦ -Right Medicine – make sure that the medication
being administered is the correct medication the
doctor prescribed
◦ -Right Dose – make sure the patient receives the
correct dose amount and does not over dose
◦ - Right Time – that the medication being
administered is at the right time
◦ -Right Route – goes the right route in being
administered
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Having a BCMA implemented will document
all of the information electronically instantly
to the patients record.
Eliminating the retrieval and updating of
paper files.
Doctors will have the patients medical
records in a timely manner to help ensure the
best diagnosis.
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Scanned Wristbands
◦ If scanned wristband
does not match with
bar coded medication,
a warning will appear.
◦ Tells nurses whether to
continue to administer
medication or to stop
◦ Gives nurses important
warnings and
directions of use on
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Electronic Medication
Administration
Record
◦ Automatically made
with the use of bar
coding
◦ Keeps track of
medication which will
limit the chances of
medication errors.
◦ Gives doctors a
accurate electronic
record to analyze.
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Patients Safety
Eases patients
concerns
More confidence in
nurses
Changes will be
recorded
immediately to
prevent the
continuation of
harmful drugs
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Horizon Admin-Rx
◦ Hand held scanning devices to
identify patient, caregiver, and
medications
◦ Interfaces with ROBOT-Rx a
pharmacy information system
that makes storing,
dispensing, returning,
restocking, and crediting of
bar-coded meds automatic.
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SafetyMed
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MedCheck
LifeCare E-mar
◦ Bedside medication
administration tool and
Electronic Medication
Administration Record
◦ Safety and Flexibility in
medication distribution and
administration
◦ Ensures the time, date, drug,
dosage, and patient match
◦ Through the use of bar
code scans to confirm the
user, the right patient
and the right medication,
SafetyMed dramatically
improves the medication
administration process
and the documentation of
medication
administrations.
◦ Includes features to
facilitate the scheduling
of patient visits & remote
capture of documents.
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OpenVistA BCMA
◦ Currently used by over 20,000
individuals, including 2,500
physicians and contains
hundreds of thousands of
medical records.
◦ Supports the collection of data
for billing, quality
management, outcomes
reporting, and resource
planning.
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The cost of the system
depends on the hospital
size. In July 2008
Forbes.com reported that
Brigham and Women's
Hospital in Boston, MA
spent $10 Million on its bar
coding system.
That $10 Million price tag
does not include the $1
Million annual cost of
maintaining the system.
The government offers
grants to help offset some
of the cost to implement
the bar coding system.
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An alternative to bar coding systems is the
RFID tag. The use of RFID would not require
direct contact or line of sight like the bar
code systems.
RFID tag system works the same way it
compares the patient and medication data
with the file in the hospital.
The system keeps track of which clinician
retrieved and administered each drug.
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7000 drug related
deaths
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FDA Requres Barcodes
Results in 50% Increase
of medication error
detection
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BCMA is technology
incorporating barcodes
with LAN connectivity
It was developed at the
VA medical Center
Resulted in 67%
decrease in errors at
Beloit Memorial
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5 Rights –
Patient,Drug,Dose,
Route, Time
Increase efficiency
of doctors and
nurses
Ensures drugs get
to the right place at
the right time
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Improves safety
Alerts when
problems occur
Creates automatic
record to help in
future diagnosis
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BCMA Systems
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Horizon Admin-RX
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LifeCare E-mar
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SafetyMed
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MedCheck
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OpenVista BCMA
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Brigham and
Women's Hospital
spent $10 million
on a bar coding
system
Doesn't include
$1million yearly
RFID tags could be
used in same way
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