Recognizing the Institutional Benefits of Bar-Code Point-of-Care Technology
| Autor: | Susanne Larrabee, Mary-Michael Brown |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Medication Systems
Hospital Michigan Cost-Benefit Analysis Point-of-Care Systems Safety net Pharmacist Humans Medication Errors Medicine Operations management Institutional Management Teams Formulary Implementation Decision Making Organizational Electronic Data Processing business.industry End user General Medicine Code point Decision Support Systems Clinical Leadership Clinical Pharmacy Information Systems Intravenous Piggyback Hospital Bed Capacity 100 to 299 Financial modeling business Software |
| Zdroj: | The Joint Commission Journal on Quality and Safety. 29:345-353 |
| ISSN: | 1549-3741 |
| DOI: | 10.1016/s1549-3741(03)29042-0 |
| Popis: | Article-at-a-Glance Background The application of bar-code technology to medication administration is growing, and its benefits are increasingly recognized. This article describes a hospital's experience with bar-code point-of-care (BPOC) technology and discusses the benefits of BPOC, considers the essential role of the pharmacist when implementing BPOC in a hospital setting, and provides a financial model for cost avoidance using a BPOC system. Implementing BPOC In 1998 Northern Michigan Regional Health System (Petoskey, Mich) partnered with a software company to create a BPOC system. Major milestones associated with implementation were involving and preparing end users, examining the hospital's entire medication process, updating the formulary and mapping drugs accurately, and identifying a process to maximize bar-code label attachment to medications. Results Visibility of prevented errors increased as compared with occurrence reports. Among the prevented errors, approximately 25% of the not-due errors occurred between shifts or between caregivers; wrong-dose errors included nurse attempts to give one tablet when two were ordered and giving two tablets when one was ordered; and wrong-patient errors were predominantly associated with intravenous piggyback medications. Omitted doses or missed doses were virtually eliminated by BPOC. Discussion A BPOC system provides a much-needed safety net at the bedside to avert potentially injurious medication errors. Another benefit that a BPOC system provides is a record of actual medication administrations. Conducting a thorough assessment of a hospital's readiness for a BPOC system will guide system implementation and help avoid potential installation pitfalls. |
| Databáze: | OpenAIRE |
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