bcma final
TRANSCRIPT
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BAR-CODED MEDICATION
ADMINISTRATION
Presented by-
Anjali KasyapJyotsna Khatri
Preeti Upadhyay
Dr. Vandana Gulati
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Removes uncertainty
Alerts for mistakes
Fast and Easy
(Yorktown, 2005)
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WHAT IS BCMA?
` Electronic softwareapplication
` Combines barcode
technologies with real-timeEthernet local area network(LAN) that connects with acentralized computer
` First developed 1995 VAMedical Center Topeka,Kansas
` Introduced nationwide in
2000
(Wideman,Whittler, & Anderson, n.d.)
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BCMA BASIC STEPS REVIEW
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BCMAHARDWARE MODEL(CONT..)
Handheld barcode scanning device
Wireless mobile computer and cart
Patient Identification Bracelet
Keyboard
Nursing Identification Barcode Badge
Optional palm PDA scanners can be utilized
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BCMAHARDWARE: A CLOSER LOOK
Barcode Scanning Device
Light weight and
comfortable hand held
design
Built in decoder
Emits high intensity redaiming beam
Trigger button(Wideman,Whittler, & Anderson , n.d.)
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BCMA SOFTWARE
BMCA Software
Again this system utilizes barcode technologies incombination with real-time Ethernet local area network
(LAN) connectivity with a centralized computer
(Wideman,Whittler, &
Anderson, n.d., pg 438)
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BMCA SOFTWARE: A CLOSER LOOK
Verifies the correct
medication was ordered &
administered on time.
Displays correct dosage. Documents the
administration time.
Purpose is to ensure Five
Rights universal standardof medication
administration.
(Wideman,Whittler, & Anderson,
n.d.)
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SOFTWARE DATABASE
y Name of patient
y Room number
y Patients identification number
y Patients sex/age
y Patients Length of stay
y Attending physician
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BCMA INFORMATION SYSTEMSSystem Elements Definitions BCMA Examples
Input Data and information entered into a
computer system
Scanned orders, entered orders,
scanned barcodes
Process Action of transforming input into
output
Pharmacy and nurses verifying
orders in the system throughout the
process
Output Changes that exit a system and that
can activate or modify processing
After scan, software verifies that
the medication is correct according
to the 5 rights of administration so
the medication can be given
Feedback Information from the system that is
used to make modifications in the
input, processing actions, or
outputs
Pharmacy message option,
medication error forms
Control Regulates: input via checks,
process by completing the
operations & detecting errors, and
output by ensuring conformity
Pharmacy allergy checks, scanning
alerts when wrong medication
scanned, wrong time, etc.
(McGonigle & Mastrian, 2009)
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USABILITY OF SOFTWARE
Focusgroup
Heuristicevaluation
Formalusabilitytest
Field study
Launchprogram
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BCMA ADVANTAGES
Reduction in medication errors.
Ease of checking the five rights of medication
administration i.e. medication, dose, route, time, patient.
Lab results can be displayed at the point of care.
Alerts for missed medicationsImproved communications between dept.
Reduction of overall cost of care
Ready access to patient medication record information
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BCMA DISADVANTAGES
Estimated to cost $1,799 per bed to implement BCMA,with an additional $1,000 yearly for maintenance.
No universally accepted bar codes.
Bar codes that are unable to be scanned.
Equipment malfunction.
Over reliance on BCMA to catch errors.
Stat medication turnaround time.
(ZIH, 2006)
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LEGAL AND ETHICAL ISSUES
Prior to development, approximately 7,000 deaths
per year due to medication error.
Developed to decrease medication errors and
improve patient safety.
Enforces use of 5 Patient Rights of Safe
medication administration.
System automatically holds electronic
patient health and medication record.
Decreases length of patient stay due to
increased medication efficacy over the long term.
(American Journal ofHealth-System Pharmacy, 2003)
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INFORMATICS COMPETENCIES OF
NURSES USING BCMA Workshops for knowledge and ease of access
Successful completion of the workshop
Ability to use a computer and log on
Knowledge of how the software works
How to fix errors, or get in contact with someone who can fix it
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FUNCTIONS & RESPONSIBILITIES OF
INFORMATICS NURSESWORKING
WITH BCMA: Incorporate theories, principles, and concepts from appropriate
sciences and evidence based practice
Integrate ergonomics and human-computer interaction
principles appropriately and efficiently Systematically determine the social, legal, and ethical impact
and play an active role in system improvement
(McGonigle & Mastrian, 2009)
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SUMMARY
BCMA
Electronic software application that utilizes barcode
technologies
Created primarily to increase patient safety related tomedication administration
Cost effective over the long term
Increases patient satisfaction
Increasing the use of informatics technology in nursingpractice
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REFERENCES:
American Journal ofHealth-System Pharmacy (July 2003).Impact of emerging technologieson medication errors and adverse drug events. Retrieved November 30, 2009 from
Medscape: http://search.medscape.com/medscape search?queryText=
Impact%20of%20emerging%20technologieson%20medication%20 errors%20and
%20adverse%20drug%20events.
Conner-Knox, J. (October 29, 2009). Technology should reduce medicine mishaps.
McClatchey-Tribune Business News. Retrieved November 24, 2009 from ABI/Inform
Dateline
Food and Drug Administration(2004). FDA issues bar code regulation. Retrieved November 24,
2009 from Department ofHealth and Human Services: www.fda.gov
Karsh, B., Koppel, R., Telles, J., & Wetterneck, T. (2008).Workarounds to
barcode administration systems: Their occurrences, causes, and threats to patient
safety.Journal of the American Medical Informatics Association, April 24, 2008.
Retrieved November 24, 2009 from http://jamia.org/cgi/ reprint/m2616vi.pdf
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REFERENCESCONT:
Lorkovic, S. (2007, August). eHealth and the new culture. Canadian Healthcare Manager,
14(4), 34. Retrieved November 24, 2009 from ProQuest:http://proquest.umi.com.ezaccess.libraries.psu.edu/pqdweb?index=0&did=1366215051
&SrchMode=2&sid=2&Fmt=3&VInst=PROD&VType=PQD&RQT=309&VName=P
QD&TS=1260766082&clientId=9874
McGonigle, D. & Mastrian, K. (2009).Nursing informatics and the foundation of knowledge.
Boston: Jones & Bartlett Publishers
Med Administration Check. (2009). Siemens USA. Retrieved December 12 from Seimens AG
website: http://www.medical.siemens.com/webapp/wcs/stores/servlet/ProductDisplay~
q_catalogId~e_-1~a_catTree~e_100010,1008631,1025982,1025978~a_langId~e_-
1~a_productId~e_191002~a_storeId~e_10001.htm
Wideman, M. V.,Whittler, M. E., & Anderson, T. M. (n.d.). Barcode Medication
Administration: Lessons Learned from an Intensive Care Unit Implementation.
Advances in PatientSafety, 3, 437-451. Retrieved from
http://www.ahrq.gov/downloads/pub/advances/vol3/ Wideman.pdf
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REFERENCESCONT:
ZIH Corporation (2006). Issues and opportunities for introducing barcode systems in
hospitals. Retrieved November25, 2009 from Zebra Technologies:
http://www.zebra.com/id/zebra/na/en/documentlibrary/whitepapers/introduce_
barcode_hospitals.DownloadFile.File.tmp/WP13966_HCissueBrief_new.pdf?dvar1=
White Paper&dvar2=Issues and Opportunities for Introducing Bar Code Systems in
Hospitals
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THANK YOU