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Recognized hospital adopts bar code system
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Overview
Recognized hospital has recently instituted a new medication administration system in its OB/ nursery that utilizes wireless
bar code scanning and identification technology to improve patient safety. Equipped with a mobile PDA, nurses at the Family
Care Center ensure delivery of the correct medication and dosage by scanning each patient's wristband along with all medications.
Nurses will also be able to input patient information and access medical records from this handheld computer— further enhancing
their ability to provide superior care without leaving the patient's bedside.
Key benefits
Fewer medication administration errors
Immediate access to and dissemination of critical patient information
More time for bedside care
Flexibility to use system for other tasks, including expanded patient documentation
Immediate method of positive patient identification
Administering medication to patients is, traditionally, a cumbersome process that entails checking kardex systems at a centralized
nursing station, transcribing information by hand, comparing this against the patient chart, visually checking the wristband to
confirm patient identity, and finally transcribing patient information back into the kardex system. By its nature, this process
takes caregivers away from their patients in order to perform outdated administrative processes. Improving productivity by
replacing these inefficient tasks with a timesaving, bedside approach is increasingly desirable in light of the long-term,
nationwide shortage of nurses. The traditional medication administration system is also relatively prone to human error, which
occasionally results in misidentification of patients and delivery of incorrect medications and/or dosages.
The new solution equipped approximately 50 nurses with a lightweight handheld computer with integrated bar code reader and a
tethered stylus for data entry. Caregivers and support staff were trained in the system and the hospital reported a relatively
easy transition without any unscheduled downtime related to implementation.
With the mobile PDA in hand, they merely scanned the wristband to confirm the patient's identity; reviewed the list of medications
ordered that automatically displays on the handheld; and scanned the medication dispenser to reconfirm the medication, dosage
and schedule—and to automatically record the medication as administered.
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The Results: A Dramatic Decrease in Medication Errors
After the first four months of use, as compared to the prior eight months, the hospital reported a decrease of 67% in the average monthly medication administration error rate.
Nurses as well as patients have been pleased that the hospital is now utilizing bar-code-enabled technology as a patient safety precaution. The hospital is beginning to experience
a host of secondary benefits as a result of this new technology including:
Increased patient satisfaction
Cost savings resulting from implementation of bar code systems in areas such as materials management
Increased productivity resulting from bar code implementation and the use of an electronic Medication Administration Record
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