System evaluation paper

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

Nurses are at the center of the health care industry, and are in a sole position of power. The academic area of my life involves being a pre-nursing student. In this discourse community we share collective goals such as studying, earning excellent grades, achievement into nursing school, and eventually becoming a nurse. Nurses are very important to society; their remarkable discourse community stands out in the health community. Their work provides trustworthiness to the provided of drugs and information given from doctors. Healthcare will always be needed, and with healthcare we need people who are well train in their field to be on top of their game and be knowledgeable about the healthcare. We might not always trust that our doctor knows what they are prescribing us but we can trust that our nurses have the knowledge of what they distribute. There are general fallacies among the field of nursing and several things to think about before following the path of a

Improved patient safety is the most essential advantage of the BCMA system. “On average a hospital patient is subjected to at least one medication error per day (IOM, 2006)”(Foote). BCMA significantly reduces medication errors that cause a compromise in patient safety. The BCMA verifies the five rights of medication administration before a patient receives a medication by the software alerting the nurse if there is a contraindication between the medicine scanned and the patient’s orders. A pilot study conducted at a 300-bed community hospital found that the BCMA system reduced medication errors by 80% (Foote). Fowler et al states that “decrease in errors related to the wrong patient was a direct result of the bar code system (Fowler).”

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.

In the classroom, it is very important to have lab safety. In a hospital pharmacy, lab safety is essential to ensuring a safe dosage to each patient. Throughout my time interning as a pharmacist at the UVM Medical center, I was often observing how much pharmacists used DoseEdge software. DoseEdge automated system that assists the process of dose routing and preparation. This product of Baxter has allowed the tasks of pharmacy change. The focus of my project was “How does current and future technology affect efficiency and accuracy in pharmacy practice?”. Through my research of Baxter’s website, articles about their product, and reports of advancing technologies in pharmacy, I found that DoseEdge is very successful in productivity and safety in the workplace. Before DoseEdge, everything was required to be prepared by hand. This required a lot of responsibility for for pharmacists and technicians to make the correct dosage in the quickest manner. Medicine is very important to a hospital, so it is very important to have the most efficient way in preparing and distributing it. This allows pharmacist to have a better way of double-checking the preparation of drugs. In each IV hood, there is an overhead camera that takes pictures of what drug and how much of it the technician is using. Pharmacist can view multiple orders all by computer without the need of being physically next to the technician. There are also requirements to have two pharmacists check the same order for high risk drugs like chemotherapy. This

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

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,

Nurses make up the largest clinical group in a hospital setting making them prone to cost containment by reducing their numbers. Appropriate staffing optimizes care and there is a need to create dynamics that provide proper staffing solutions. This way the health care sector will adapt to the evolving nature and need for populations that are constantly rising and in need of care. This is essential in preventing harm, providing appropriate care as needed, and saving lives. Legislations such as The Registered Nurse Staffing Act have been enacted to make sure that hospitals have adequate numbers of licensed registered nurses that provide effective medical care required by patients. Nurses have a responsibility in maintain, defining, and implementing standards of their professional practice (American Nurse Association, 2012). They should embrace mechanisms that provide adequate and flexible staffing to protect themselves and their patients from inappropriate delegation of tasks and

The Medi-Can Medicine Dispenser & Alarm can help the user to take the correct amount of their medication at the correct time. The Medi-Can is a hexagon-shaped container that can hold up to 12 different pills in labeled containers. The Medi-Can container is made out of plastic with 12 dials, 12 screens, and 1 tray with a weight sensor. There is a specific dial on each container holding a certain pill. The user can set a dial to the time period at which they need to take their medication. The user can also select the amount of each medication that needs to be taken on the digital screen below each dial. The Medi-Can will dispense the user’s medication into the tray when it is time for the certain medication to be taken. An alarm will sound when

Automated medication dispensers may be the key for improved quality of care and safety for individuals who live in a community-based setting. Errors and adverse incidents related to medication use are becoming more common whether it is because of cognitive changes related to aging, substance abuse or simply just not taking medications as prescribed. A working definition of medication misuse for the purposes of this paper is the use of medications, illicit, prescribed, or over-the-counter, in a manner other than as recommended or directed (Centers for Disease Control and Prevention, 2013). It has been reported that in the United States alone, 105 people die each

Pharmacies have been around for a very long time. As technology has been advancing so has the number of medications one can be given. There is always room for human error when it comes to many different medications. Since technology has been advancing humans have been trying to make it to where human error is very little in the process of dispensing medications. Pharmacists have been thinking about how to take human error out of the dispensing medications process. One of their ideas is using automated robots to help with taking out human error. By using robots pharmacists can be sure that their patient is receiving the correct medication.

A Pharmacovigilance system, similar to any system, is described by its structures, procedures and results. A mind boggling and fundamental relationship exists between wide scopes of accomplices in the act of medication healthcare checking. These accomplices should mutually suspect, comprehend and react to the ceaselessly expanding requests and desires of people in general, healthcare executives, approach authorities, legislators and healthcare experts.

Set-up and workflow of my pharmacy is pretty good for patient centered care. Patient does not have to wait too long for their prescriptions to be filled. Patients can call for their refills via telephone or online, which makes their life easy as they don’t have bother coming in-person for refills. Patient profile shows all medication history as well as number of refills remaining. This makes it easy for pharmacist to know whether to refill a prescription or call doctor for refill request. After confirming to fill a prescription pharmacist runs claim through insurance and print label after claim is successful. All medication is arranged alphabetically on shelves, thus it is easy and quick to retrieve. Then after technician fills medication and then pharmacist checks it. This workflow is quite smooth and quick to process. Final check is done by pharmacist, who confirms right medication for right patient as well as the NDC dispensed, amount dispensed, direction for use, and day supply. All these steps of process take place on working table in sequential order, which helps to reduce errors in filling and have effective prescription filling. Once the prescription is filled pharmacist do all paper

The data entry stage has two major problems. The first problem is drug utilization review (DUR). As showed by PSI team for the pharmacy fulfillment process, DURs arise frequently and pharmacists must waste time to intervene. CVS’s central database of customer fails to update and understand customers’ newest condition, so that the issue of DUR triggers customer’s dissatisfaction and wastes a lot of time for pharmacists. The second problem in the data entry stage is no refill allowance. Many customers may lose track of how many refills that were allowed and drop off an ineligible script

The goal of every hospital is to provide the best possible health care to it’s patients. Accordingly, the hospital endeavors to recruit and employ the best health care providers available to administer and attend to the medical care of it’s patients. To that end, nurses represent a significant majority of those hospital employees who provide direct bedside care to and for patients. Along with a plethora of other medical responsibilities for the patient, the nurse is responsible for the delivery of prescribed medications to the patient.