Bar-Coded Medication Bar-Coded Medication AdministrationAdministration

Jill DiEmedio, RNJill DiEmedio, RN

ObjectivesObjectives

Describe Bar-Coded Medication AdministrationDescribe Bar-Coded Medication Administration

Describe Hardware/SoftwareDescribe Hardware/Software

What is an information system? What is an information system?

What are the Adavantages/Disadvantages of What are the Adavantages/Disadvantages of BCMABCMA

Describe the Legal/Ethical Issues

ObjectivesObjectives

Describe Informatics Competencies

Describe Functions and Responsibilities

Describe a Summary of BCMA

What is Bar-Coded Medication What is Bar-Coded Medication Administration?Administration?

Abbreviated BCMA or BPOCAbbreviated BCMA or BPOC

Barcode systemBarcode system

Prevents medication errorsPrevents medication errors

5 rights of administration5 rights of administration

(Sakowski, 2005)(Sakowski, 2005)

BCMA consists of….BCMA consists of….

Barcode readerBarcode reader

Portable Computer with a wireless Portable Computer with a wireless connectionconnection

A computer serverA computer server

SoftwareSoftware

BCMA HardwareBCMA HardwareHandheld scanning deviceHandheld scanning device

Wireless mobile connectionWireless mobile connection

KeyboardKeyboard

Mobile computer/Cart Mobile computer/Cart 

Optional: Palm PDA Optional: Palm PDA 

(Siemens, 2005)(Siemens, 2005)

BCMA HardwareBCMA Hardware

Hand held ScannerHand held Scanner

SoftwareSoftwareSiemens Med Administration Check (MAC)Siemens Med Administration Check (MAC)

Siemens PharmacySiemens Pharmacy

INVISION INVISION

Interface with LCR and PYXIS ConnectInterface with LCR and PYXIS Connect

( Siemens, 2005)( Siemens, 2005)

BCMA SoftwareBCMA Software

Siemens Med Administration Check (MAC)Siemens Med Administration Check (MAC)

UsabilityUsability

Axiom #1: Users must be an early and Axiom #1: Users must be an early and continuous focuscontinuous focus

Axiom #2: The design process should be Axiom #2: The design process should be iterativeiterative

Axiom #3: Formal evaluation should take Axiom #3: Formal evaluation should take placeplace

What is an information system? What is an information system?

Siemens med administration checkSiemens med administration check

Proven point-of-care technology

Eliminate medication errors Eliminate medication errors

( Siemens, 2005)( Siemens, 2005)

Information Review CriteriaInformation Review Criteria

Type of information system (IS)Type of information system (IS)

What healthcare professionals use the IS?What healthcare professionals use the IS?

What functions does this IS enable the What functions does this IS enable the users to perform?users to perform?

What configuration is used? What configuration is used?

Information Review CriteriaInformation Review Criteria

What data standards are used?What data standards are used?

What nursing practice standards What nursing practice standards classification scheme is used?classification scheme is used?

Would you recommend this trend?Would you recommend this trend?

Advantages

Improve Patient Safety

Reduce medication errors

Patient satisfaction

Nursing staff satisfaction

(Work, 2005)

Disadvantages

Current number of proven software applications are limited

Relies heavily on being user-friendly and intuitive to the clinical end-user

Solution does not focus specifically on medication errors

(Newell, 2003)

Legal/Ethical Issues

Patient name and identity exposed

Nurses not logging off of computer system

Override function

(Perry, Shah, & Englebright, 2007).

Informatics Competencies

Using computers

Training

Operating MAK

Functions and Responsibilities

Training

Education

Monitor system

(Paoletti, 2007)

Summary

Drugs labeled with unique bar codes

Patient has bar coded wrist band

Pharmacy places order in computer

RN verifies order

Uses 5 rights

Reduces medication errors

Patient safety

ReferencesReferences

Newell LM, Christensen D.,J Healthcare Inf Manag. 2003 Fall;17(4):29-35 Perry, A.,

Paoletti, R.(2007) Bar-code Technology and Observation for Safer Drug Administration: Development of EMAR and BCMA System. American Journal of Health-System Pharmacy.64(5),536-543

Sakowski J. (2005). Using a BCMA. Sakowski J. (2005). Using a BCMA. American Journal American Journal of Health-System Pharmacy. 62(24), 2619-2625of Health-System Pharmacy. 62(24), 2619-2625

References

Shah, M., & Englebright, J. (2007). Improving Safety with Barcode-enabled Medication Administration. Patient Safety & quality Healthcare

Siemens. (2005). Siemens. (2005). Siemens Med Administration Check Siemens Med Administration Check Technology that Helps Reduce Medication errorsTechnology that Helps Reduce Medication errors [Brochure]. Malvern, PA[Brochure]. Malvern, PA

Work M. (2005). Improving Medication Safety with a Work M. (2005). Improving Medication Safety with a Wireless, Mobile Barcode System in a Community Wireless, Mobile Barcode System in a Community HospitalHospital