Doseedge Technology

The pharmacy, nursing, and informatics department were required to be involved in implementing the bar-code-assisted medication administration (BCMA) patient safety initiative. The involvement of the informatics department was required for planning and coordination of the electronic medication administration record and the scanning devices. The nurses were administering the medications so they were required to undergo training on BCMA methods and the importance of BCMA implementation. Pharmacists were needed to assist nurses in case if a scanning error occurred. Pharmacy, nursing, and informatics staff members were responsible for evaluation of the BCMA system upon implementation.

Health information technology or HIT is a huge part of the dashing changes in how medications are prescribed, dispensed, and administered by using technologies electronic devices to share and manage patient information, instead of doing it the old fashion way which was over the phone, having all patients’ records and files on paper, and using the old fax method. Everything is computerized, from managing the

Encourage the use of computer-generated or electronic medication administration records. Plan for the implementation of computerized prescriber order entry systems. Consider the use of machine-readable code (i.e., bar coding) in the medication administration process. Use computerized drug profiling in the pharmacy. Be a demanding customer of pharmacy system software; encourage vendors to incorporate and assist in implementing an adequate standardized set of checks into computerized hospital pharmacy systems (e.g., screening for duplicate drug therapies, patient allergies, potential drug interactions, drug/lab interactions, dose ranges, etc.)”. (Association,

The safety of medication administration has become a universal issue and crucial for one 's wellbeing. The majority of hospitalized patients are treated with medications (Agyemang & While, 2010). The medical treatment of patients has a direct effect on the patient 's quality of life. Srinivasan declared "patients have a right to know they are receiving safe care" (as cited by Zhani, 2012, p. 1). The purpose of this paper is to identify current quality and safety issues in healthcare, share the impact the issues have on health care delivery, identify quality improvement strategies, and to reveal a plan to implement quality improvement strategies.

Additionally, the facility should have a system in place that alerts the staff regarding high dosages. One way to alert the pharmacist would be via a computerized system that monitors the dispensing of all medications. The system should contain an up to date database for referencing medications. Also, the computerized system should have parameters set for alerting pharmacy and nursing staff for all high dosages. When taking cost into consideration, the facility might not have the feasibility to implement an entire computerized dispensing system that provides dosage alerts and cross check off of medications. To maintain patient safety with limited funds, the facility should have remote access to a pediatric pharmacy where all pediatric medications can be cross-checked and verified. If the facility was unable to have a pediatric pharmacist on staff, the remote access would provide a safety net for pediatric medication dispensing. In addition to the pharmacy staff having access to a computerized system, the physician should as well. Had the physician had computer access and been required to enter medication orders, the tenfold error could have been noted and not reached baby Miguel.

In healthcare today, when hospitals are judged upon patient safety standards, it is critical to prevent errors involving medication administration. Distractions while preparing and administering medications, has been report as one of the leading causes of medication errors. Distractions while nurses are administering medications can lead to poor patient outcomes and even sentinel events. Nurses and nurse managers are responsible for maintaining a unit with minimal distractions. When distractions are minimized throughout medication administration process, a decrease in medication errors will occur and lead to increased patient outcomes.

The features are: 1) Newly Redesigned Medication Reconciliation, 2) Newly Redesigned Patient List, 3) ePrescribe (MU 2 requirement), and 4) Nurses will have access to Order Management.

This paper will review the implementation of the Electronic Medication Administration Record (eMAR) at Clayton Memorial Hospital, a 420-bed hospital, with a regional cancer center, cardiovascular services, ambulatory services and 24 physician practices in West Palm Beach, Florida. Through implementation of the eMAR, the 5 rights of medication administration are maintained (right patient, right medication, right dose, right route and right time), notifications are at the nurse’s fingertips, errors and warnings are readily available, allergy checking is automatically done, dose checking and other applicable clinical data are accessible. This paper will discuss one hospital’s journey on the path to medication safety.

One of the most important steps in caring for hospitalized patients is medication administration. Patients come into the hospital to be treated so they will feel better, it does not matter what the physician does if the medications are not given to the patient they will not get better. According to McGonigle and Mastrian, the steps of administering medication have not changed in many years, they are “assessment of need, ordering, dispensing, administration, and evaluation” (McGonigle & Mastrian, 2012, p. 386). The purpose of this paper is explain the medication administration process that is used in my facility, to determine the technology used is effective.

The system implemented by Hsieh, Hou, Cheng, Tan, Shen, Hsu, and Lai, (2010), provides user access to a web page via a web browser which utilizes an interface engine to respond to a HTTP request. Additional security includes layered security, single sign on, and user access control for every web page (Hsieh, Hou, Cheng, Tan, Shen, Hsu, and Lai, 2010). The result is an eMAR that provides real time drug administration, reducing the chance of error (Hsieh et al, 2010). The value of implementing an eMAR is achieved through improving information quality, availability, and reliability and facilitating information exchange. Ultimately, the ability to access medication administration records in “real time” will improve efficiency, safety, and healthcare outcomes. Assumptions include the use of an interface engine, concurrent use of a barcode medication administration system, no additional purchases of hardware or software, and no increase in nursing staff. Constraints include regulatory (MU), budgetary, and workforce availability. Additional time will be need to be budgeted to allow for workflow redesign, training of staff, and testing prior to the “go-live” date.

The article is, Evaluating the Impact of Medication Cabinets in Patient’s Rooms on a Medical-Surgical Telemetry Unit, and it is a study about the impact of medication cabinets in each patient’s room on the administration of medication. In the article it states, “Nurses spend 27% of their time on medication-related activities and over 73% of their time on nonmedication-related activities, and they are responsible for 26-38% of medication errors in hospitalized patients,” (Arinal, M. F., Cohn, T., & Avila-Quintana, C., 2014, pg. 77). From personal experience in the hospital, it is no surprise that nurses spend so much time on medication administration. A majority of the morning is spent gathering supplies and

The problem that the community is experiencing related to medication administration is that there is no system that can be used to check the medication before administering except the RNs and LPNs themselves. Staff members are using picture of patients in the system as a way to identify patients before administering medications. They do not have barcode reader to alert them when they are about to administer wrong medications. The community is aware of this problem and started to use the same process except that the medication is checked by three nurses instead of two after entering the information into the system.

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Nursing in today?s society involves more than technical skills, critical thinking, and compassion. It also is changing to add the ability to not only understand but be able to utilize technology to impact a patient?s health. There are many technological changes employed in healthcare practices, however, I have chosen to address bar-code medication administration or BCMA. According to an article in the Journal of Patient Safety, ?bar-code medication administration has been shown to be effective in reducing patient medical errors, yet is still only utilized in 5% of the country?s health care facilities? (Sands, Slebodnik, & Young, 2010). Medication errors are common in hospitals and often lead not only to patient harm, but also lengthy hospital stays and law suits. ?One study identified 6.5 adverse events related to medication use per 100 inpatient admissions, more than one fourth of these events were due to errors and were therefore preventable? (Bane, et. al., 2010).

Since the perception of patient safety has arisen, many medical organizations were striving to improve medication safety. Emory Healthcare, the largest and most comprehensive health care system in Georgia, was one of them who were seeking ways to prevent medication errors. In recent years, some