Download Patient Safety and Quality: An Evidence

Supplies in the ICU
Stephanie Allen-Wang
Sukanya Bhattacharya
Sarah Manning
Temidayo Yembra
Problem Statement
SAW, SB, SM, & TY 10/21/2010
Problem Statement
Nurses spend excessive time
retrieving supplies from the
supply room
SAW, SB, SM, & TY 10/21/2010
Problem Statement
• Errors are made when charging supplies to
patients
o
o
Either patient or medication names
Right drug , Right dose, Right time, Right route
SAW, SB, SM, & TY 10/21/2010
Problem Statement
• There is a lack of equipment to carry &
store supplies
o
o
o
Minimize waste of supplies
Medication usage control
Inventory control
SAW, SB, SM, & TY 10/21/2010
Problem Statement
• Inventory records do not match actual
supplies available
• There is a lack of fail-safe mechanisms
concerning inventory tracking
SAW, SB, SM, & TY 10/21/2010
References
Omnicell Inc, "Orange Regional Medical Centre Selects
Omnicell to Maximize Medication Management", 2010
ORMC switched to Omnicells to:
• Maximize inventory
• Enhance safety
• Increase medication security
SAW, SB, SM, & TY 10/21/2010
References
M. Shepley "Predesign and Postoccupancy Analysis of
Staff Behavior in a Neonatal Intensive Care Unit" in
Childrens Healthcare Volume 31, Issue 3, 2002
• Location of a supply room in a NICU, alone, does not
decrease time in activity involving supply storage
SAW, SB, SM, & TY 10/21/2010
References
J. Reiling, R. Hughes, M. Murphy - The Impact of
Facility Design on Patient Safety in Patient Safety and
Quality: An Evidence-Based Handbook for Nurses
• Architectural design on patient safety is important
• Improving physical environment, mproves patient
and nurse outcomes
SAW, SB, SM, & TY 10/21/2010
References
J. Collins - RFID Cabinet Manages Medicine in RFID
Journal Inc, 2005
• Using RFID enabled cabinets
• Automatically track when medical equipment is removed
• Reduces false-positives in inventory tracking
SAW, SB, SM, & TY 10/21/2010
References
M. Freize, A. Carlo "A Case for Inventory Control", 2001
• Enhancing medical service and quality
• Effective inventory management systems
• Organized maintained by
o Color-coding
o Labeling
SAW, SB, SM, & TY 10/21/2010
Solution
• Enhance Omnicell design and process
• Patient safety
o
o
Compartment door opens
Guiding Light
• Inventory Control
SAW, SB, SM, & TY 10/21/2010
Omnicells
• Typical Process
1. Swipe employee badge
2. Enter patient name
3. (Enter item)
4. Open Door
5. Remove supplies
6. Press corresponding button 1 time for each item
7. Close door
8. Swipe out/end session
SAW, SB, SM, & TY 10/21/2010
Solution – Patient Badge
SAW, SB, SM, & TY 10/21/2010
Solution – Color Code Supply
Areas
SAW, SB, SM, & TY 10/21/2010
Solution – Use RFID
SAW, SB, SM, & TY 10/21/2010