S

Bar Coding

Presented By:Kelly Dwyer

Objectives

Describe Bar Coding

Describe How Bar Coding is Used in Today’s Healthcare

Examine Financial Implications

Discuss Patient Safety

Examine Accuracy of Medication Administration

Discuss Advantages/Disadvantages from a Nursing Perspective

Bar Coding☐ A way to represent data that is fast and easy.

☐ Typically a reference number used to look up data.

☐ First introduced into clinical area of healthcare in mid 1990’s

(HIMSS, 2003)

Bar Coding

Efficient way to ID patient

Used to administer meds

Fast access to patient info

Helps prevent med errors

Systematic way of charting

(HIMSS, 2003)

Bar Coding

Where can bar codes be found? Patient ID bracelets Medications OR tools Supplies

(Hankin, 2002)

Hardware

Computer

Bar Code Scanner

Keyboard

Mouse

Printer

Labels

(CYBRA, 2010)

Barcode Scannero Optical/laser devices

oInterpret data within barcode

oVarious scanners available

oSaves time and money

oEliminates errors

(Azalea, 2009)

Software

Meditech

IT Medical Solutions

BarControl

Code Corporation

JADAK

(JAZD Market, 2010)

MEDITECH

Allows nurse to see: Demographic data Allergies Lab results Med/Trans orders Clinical indicators Editable drug

monographs (eMAR) Dose instructions

(Medical Information Technology, Inc, 2010)

Software used for bar coding

Status board and electronic chart

Easy access to data

Helps eliminate med errors

Usability

Software easy to use

Uses cognitive walkthrough

Software tested prior to launch

Field study

( Effken, 2009)

Information System Computer based system

Combination of software, hardware and telecommunication

Composed data that is analyzed

(McGonigle & Mastrain, 2009)

Summary of CBIS

Clinical information system

Used by: nurses, physicians, pharmacists, etc.

Functions mainly for documentation purposes

Point of Care configuration

American National Standards Institute (ANSI)

Health Industry Business Communications Council (HIBCC)

(Hankin, 2002)

Summary of CBIS

National Patient Safety Goals

Highly recommended

(Foote & Coleman, 2008)

BCMA Advantages

Medication Administration Safety using 6 rights

Helps identify potential errors

Medication administration accuracy

Easy documentation of meds

Time saver

Cost efficiency

Five Goals for BCMA

1. Increase patient safety

2. Increase patient satisfaction

3. Increase efficiency

4. Increase nursing satisfaction

5. Decrease patient care costs

(Foote & Coleman, 2008)

BCMA Disadvantages

Errors on wristbands at registration

Wrong wristband on patient

Font size on wristband

Scanning bar code can disturb patient

All meds not documented

(McDonald, 2006)

Ethical/Legal Issues

Patient information left on computer screen

Lack of medication observation

Documentation errors

Flaws in system

(Foote & Coleman, 2008)

Informatics Competencies

General education on system

One on one user instructions

Refresher courses

Training of power users

(Cummings, Bush, Smith & Matuszewski, 2005)

Functions & Responsibilities of Informatics Nurse

Involved in: Selection, Design, Implementation and Evaluation

Daily use of: Computers, Technology, and Systems

May become super users

Use nursing process

(Daurio, 2002)

Summary

Way to identify patients

Bar codes found in many places

Helps prevent med errors

Cost effective

Allows for easy documentation

Increases nursing satisfaction

(HIMSS, 2003)

References• Azalea Software. (2009). Barcode FAQ. Retrieved October 8 2010 from

www.azalea.com • Cummings, J., Bush, P., Smith, D, & Matuszewski, K. (2005). American

Journal of Health-System Pharmacy. Bar-coding medication administration

overview and consensus recommendations. • CYBRA Corporation (2010). CYBRA Bar Code Solutions: Hardware and Labels. Retrieved October 8 2010 from www.cybra.com • Daurio, N.R. (2002). Nurse Week. Nurses Embrace Technology. Retrieved on

November 17 2010 from www.nursingspectrum.com • Effken, J. (2009). Nursing Informatics and the Foundation of Knowledge. Improving the Human-Technology Interface. • Foote, S.O. & Coleman, J.R. (2008). Nursing Economics. Medication Administration: the implementation process of barcoding for medication

administration to enhance medication safety. Retrieved October 29, 2010 from

www.findarticles.com • Hankin, R.A. (2002). Bar Coding in Healthcare- A Critical Solution. Business

Briefing: Medical Device Manufacturing & Technology . Retrieved September 14

2010 from www.hibcc-au.com.au/Reference%20Files/Hankin_pap.pdf

References

• HIMSS (2003). Bar Code Technology in Healthcare [DX Reader Version]. Retrieved September 12 2010 from www.mckesson.com • JAZD Markets, Inc (2010). Bar Coding System Companies: Healthcare Bar Coding System. Bar Coding System. Retrieved October 8 2010 from www.jazdhealthcare.com• Medical Information Technology, Inc. (2010). MEDITECH. Patient Care System Functionality Brief. Retrieved October 8 2010 from www.meditech.com• McDonald, C.J. (2006). Annuals of Internal Medicine. Computerization Can Create

Safety Hazards: A Bar-Coding Near Miss. Retrieved on November 17 2010 from www.annuals.org.

• McGonigle, D. & Mastrain, K. (2009). Nursing Informatics and the Foundation of Knowledge. Introduction to Information, Information Science, and Information Systems.•Staggers, Nancy. (2003). Human Factors: Imperative Concepts for Critical Care

Retrieved October 8 2010 from ereserves@psulias.psu.edu