Positive Patient ID Solution from Zebra

Issues in Healthcare

• Patient Identification is KEY• Currently

– Hand written wristbands– 8.6% of hand written wristband contain incorrect data

– 5.7% are illegible to some degree

– No patient identification• Audit in UK hospital found that 20% of patients were without a

wristband

And yet the patient is the key to all treatments………

Hospital Information System (HIS)

OR SchedulingSystem

LAB Pharmacy E.R. System Blood Bank

Workflow: Process Automation(server based front end applications)

Peripheral Devices

Patient

Typical IT system in hospital

But mistakes do happen…..

• Adverse events occur in about 10% of NHS admissions– 850,000 people per year– A quarter are due to medication errors

• SHOT (Serious Hazards of Transfusions 2000-01)

– 213 incidents of wrong blood being issued• Of the 213 incidents there were 344 reported

errors– In last 5yrs there have been 11 deaths

Solution = Positive Patient ID

• Track patient at every stage of their treatment– Medication administration– Blood Administration– Sample Management– Treatment

• X-Ray, surgical etc.– Non-medical

• Meal orders, patient billing

BarcodedPatient

Wristband

Medication

Sample ID Treatment

Blood Products

Wristband solution from Zebra

Barcoded patient wristbands– Thermal Transfer

• Z-Band 4000– Direct Thermal

• NEWZ-Band Direct• NEW Z-Band QuickClip

– Smart Wristbands (13.56Mhz) Barcode printers from Zebra

– 2824-Z, 2844-Z – ward based solution– S600 / Z4M - Admissions – Network / Printer Management key

Z-Band Direct™

• Direct Thermal– ribbon-less printing

• Durable image with resistance to alcohols, solvents, water and soaps

• 1-Piece Wristbands– Self adhesive closure

with security slits for immediate adhesion and tamper-evidence.

• Band Colour– White, custom colours

available

Z-Band QuickClip™

• Direct Thermal– ribbon-less printing

• 2-Piece Wristbands– Secure clip fastening,

must be cut to be removed

• Durable image with resistance to alcohols, solvents, water and soaps

• Band Colour– White, custom colours

available– Coloured clips option

Z-Band 4000

• Thermal Transfer– resin ribbon required

• Latex free, waterproof, smear and abrasion resistant

• 1-Piece– Self adhesive closure

• Band Colour– White, custom colours

available

Smart Wristbands™

• 13.56Mhz RFID bands• RFID Solution

– RFID bands– RFID enabled printer, R2844-Z– Other: RFID readers, antennas (non-Zebra)

• Benefits over Barcode– Can ‘read’ band through bed covers– Can store information locally on band

• Disadvantages over Barcode– Cost – Limited hardware options

The Wristband Family

Material Description Size Printer Fastening / detailsZ-Band Direct Adult 1" x 11" 1", 3" security slit/ self adhesive

Child 1" x 7" 1" security slit/ self adhesive

Neo-Natal 0.75" x 6" 1" security slit/ self adhesiveZ-Band QuickClip Adult 1.2" x 11" 1" clip fasteningZ-Band 4000 Adult 1" x 11" 1", 3" self adhesiveRFID Adult 1.2" x 11.5" 1" (R2844Z) clip fastening / 13.56Mhz

Wristband Competitors

• Sato– Range of ‘soft’ DT and TT wristbands– Clip fastening– Advantages over Zebra

• Soft texture of bands – more comfortable• Product in market for more than 1yr

– Disadvantages over Zebra• Large clip size unpopular with endusers• Cost: €0.20-€0.30/ band (Zebra

€0.15-€0.20/band)

Wristband Competitors

• PDC • ‘Compuband’ range of DT and TT wristbands• Clip fastening• Advantages over Zebra

– Well established supplier of handwritten wristbands into healthcare market

– Extensive network of channel in Europe

• Disadvantages of Zebra– Current Channel in Europe do not understand barcoding

printers/ hardware/ supplies

Wristband Printers

• Desktop Printer Range• 2”, 4” widths available• Small and Compact• Easy to use• Connectivity

– USB, serial, parallel

– Internal / external Ethernet

– Zebralink

• New media guide Option for Wristbands– Ensures registration and

print quality

Media Guides

Mid-range Printers

• For higher volume areas– A&E– Admissions

• Robust• Larger footprint• Connectivity

– Serial, Parallel– Internal / External Ethernet– Zebralink / ZBI

Printer Management

• Printers on every ward = IT nightmare!• Solution = Printer Management from Zebra

– Network your printers– View printer status from your desk– Have the printer alert you when there is a problem!

Benefits of Patient ID

• Wristband can have text and barcode (even RFID)– Patient name– Patient ID number (to ref EPR)– Blood type– Allergies– Primary physicians

• Pre-printed colours for visual aids

Benefits of Patient ID

• Risk Reduction– Automation of data entry and verification

• Error rate for barcode data entry is less than 1 in 3million scans

– Improved Processes• re-designed to include scanning of patients,

samples, drugs.• Eliminates bad working practices

Benefits of Patient ID

• Cost Savings €€€€– Reduction of errors = reduction of costs to rectify errors– Medication errors account for 25% of mistake made

• average cost per Adverse Drug Event = €2,257 *• Study at VA hospital showed 86.2% error reduction using

point-of-care scanning for medication– More Efficient

• Carilion Health System reported savings of 2.75hrs per 12-hour nursing shift after starting to use barcodes as part of their medication administration

*figures quoted from FDA (Federal Drug Administration)

Admissions

Radiology

MedicationAdministration

Theatre

LaboratoryBlood Bank

Zebra Positive Patient ID Solution

• Accurate identification of patients is the foundation to improved care and medical treatment– Track ‘The Patient Journey’ through the hospital

Thank You

Any Questions?