Perry A, Shah M, Englebright J. Pharmacology for Nurses: A Pathophysiologic Approach. Advances in Patient Safety: From Research to Implementation. Threats to patient safety are of global significance to the nursing profession. The abstracts of articles were initially read and those that met the inclusion criteria were included followed by an in-depth reading. Recommendations for health information technology implementation in rural hospitals.
She realized that the ubiquitous use of barcode scanning in other industries might be able to help with the administration of medications in a clinical setting. Why worry about near misses?. It is in the coding process that theory is applied in qualitative research. This strategy also resulted in system solutions to the dose calculation rounding problem described above. The error was caught upon barcode scanning.
There were significant amounts of missing data, particularly in the results of the control group surveys. Facilities adopting medication management—related technologies, whether stand-alone or integrated, can consider the technologies' interconnectedness and functionality for the end user. What determines successful implementation of inpatient information technology systems? Sample policy and procedure documents provided by the vendor were reviewed and modified by a small focus group including the nurse manager, a small group of staff nurses, and the nurse informatician. These units serve as ideal test beds for fixing glitches and ensuring availability of sufficient technical support staff before the rollout proceeds to larger and more complex parts of the organization. Diffusion of innovations 5th ed.
The implementation of new technologies into healthcare systems can be a complicated endeavor. The most recent trend began in 2012, and a spike in reporting occurred in 2015. Surveys were coded to protect the identity of the subjects. The ability to transmit these detailed medication instructions to the next shift was a critical aspect of coordination for the nurses. In intensive care units and increasingly in acute care units complex instructions accompany the orders. Can simulation in situ improve patient safety? The purpose of this paper is to review and assess the literature on factors affecting the impact of barcode medication administration technology in reducing medication errors by nurses in hospital settings. Encouraging reporting and analyzing events ensures staff have a venue to inform leadership about the processes and workflows and, as mentioned previously, ensures a means of comparison for like events.
The image profile of the model included three aspects: system functionality, systems usability, and systems impact on nursing practice. American Journal of Health System Pharmacy, 66 13 , 1202-1210. Interviews were scheduled in a later phase of the project, therefore interview data are not included in this report. Methods used to provide education and change processes can be enhanced to improve the overall satisfaction with these new technologies. However, nurses would engage a workaround in certain circumstances e.
Each year, about 7,000 patients die because of preventable human error. Bar-coding medication administration overview and consensus recommendations. You will find information such recommended reading and considerations for assembling a team, pre and post data collection, pharmacy perspective, and nursing perspective. Using bar-code technology and medication observation methodology for safer medication administration. Thus, pharmacy and nursing students were trained and recruited as observers using this technique. Methods: Costs were collected from financial records and key informant interviews at 4 not-forprofit community hospitals. In addition, a job-shadowing initiative also has been implemented recently.
International Journal of Computer Applications, 4 3 , 27-32 Campino, A. Measuring Costs and Benefits Costs. Annals of Internal Medicine, 144 7 , 510-516. American Journal of Health-Systems Pharmacists, 65, 1661-1666. The analyst determined that these events were reported with relative consistency, on a monthly basis, over several months, and appeared to involve the medication administration process.
Highlights of best practices and strategies for success are featured below. Key components include the medication administration route tabs 1 , the Virtual Due List for medications 2 , As a handheld barcode reader registers each medication, the software verifies the correct medication was ordered, administered on time, and measured in the correct dosage, while at the same time documenting the actual administration of the medication. American Journal of Health-System Pharmacy, 71 3 , 209-218. Limitations of the system e. These errors occur at all stages of the medication-use process, including ordering, transcribing, dispensing, and administration. Nurses developed individualized routines for acquiring the medications for a specific medication pass, as well as strategies for dealing with medications that were missing from floorstock or the patient-specific drawer. Thousands of other clinical settings have since adopted barcode medication administration.
Bar-code verification of medication administration in a small hospital. Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. When process-oriented information systems are implemented, the informal, flexible, contingent activities of participants that enable coordinated work are suddenly placed in a new context. Some grantees found that scanners that they purchased were not able to read the majority of barcodes used in their organizations. This 2008 study of a barcode medication administration system showed a 47% reduction of medication errors. American Journal of Health-System Pharmacy. American Journal of Nursing, 104 1 , 63-66.
The author of this paper hypothesized that an increasing level of frustration felt by the nurse may lead to a decrease in the level of satisfaction with the medication administration process overall. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds. Further research needs to be conducted using these methods in order to strengthen the quality of evidence. All sites maintained their existing paper-based, non-electronic prescribing procedures where new drug orders written on paper forms are hand delivered or faxed to the pharmacy. The use of workarounds indicates a lack of confidence in the system and may be an indication of decreased satisfaction. The Blue Mountain Health System's bedside barcode scanning software application allowed for increased data capture and internal reporting capability.