Download DiEmedio__Jill_Unit_V_PP.pdf

Bar-Coded Medication
Administration
Jill DiEmedio, RN
Objectives
Describe Bar-Coded Medication Administration
Describe Hardware/Software
What is an information system?
What are the Adavantages/Disadvantages of
BCMA
Describe the Legal/Ethical Issues
Objectives
Describe Informatics Competencies
Describe Functions and Responsibilities
Describe a Summary of BCMA
What is Bar-Coded Medication
Administration?
Abbreviated BCMA or BPOC
Barcode system
Prevents medication errors
5 rights of administration
(Sakowski, 2005)
BCMA consists of….
Barcode reader
Portable Computer with a wireless
connection
A computer server
Software
BCMA Hardware
Handheld scanning device
Wireless mobile connection
Keyboard
Mobile computer/Cart
Optional: Palm PDA
(Siemens, 2005)
BCMA Hardware
Hand held Scanner
Software
Siemens Med Administration Check (MAC)
Siemens Pharmacy
INVISION
Interface with LCR and PYXIS Connect
( Siemens, 2005)
BCMA Software
Siemens Med Administration Check (MAC)
Usability
Axiom #1: Users must be an early and
continuous focus
Axiom #2: The design process should be
iterative
Axiom #3: Formal evaluation should take
place
What is an information system?
Siemens med administration check
Proven point-of-care technology
Eliminate medication errors
( Siemens, 2005)
Information Review Criteria
Type of information system (IS)
What healthcare professionals use the IS?
What functions does this IS enable the
users to perform?
What configuration is used?
Information Review Criteria
What data standards are used?
What nursing practice standards
classification scheme is used?
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
References
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. American
Journal of 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 Med Administration Check
Technology that Helps Reduce Medication errors
[Brochure]. Malvern, PA
Work M. (2005). Improving Medication Safety with a
Wireless, Mobile Barcode System in a Community
Hospital