Homogeneity to identify entities

Slides:



Advertisements
Similar presentations
The Basics of Patient Safety How You Can Improve the Safety of Patient Care.
Advertisements

© Medinorma LLC Switzerland Medinorma LLC Slide 1 Electronic Health Records and Supply Chain Data Standards GS1 Healthcare,
Oregon Health & Science University’s Implementation of Oracle Financials Accounting Hub.
The critical role of Evolving Information Systems and the need for Standardised Coding.
Transfusion Quiz. Q1. What colour blood tube is used for a group and cross match sample? Red Purple Pink Grey.
1st Global QA Conference & 21st SQA Annual Meeting Falcon Consulting Group, LLC 1 Phase I Clinical Study Audits “A Deeper Scrutiny” Cheryl J. Priest, R.N.
The Impact of MAK Implementation at a Hospital Transfusion Service Laboratory S.Delanghe, K. Eckert, K.Leigh, H. Elgie, K. Hodgins, L Thomson London Laboratory.
Americas Technical Advisory Group ICCBBA ISBT 128 Blood Product Labeling – A Hospital Perspective Americas Technical Advisory Group ICCBBA.
Patient Safety and Patient Identification Chris Ranger Partnership Development Manager (NHS Connecting for Health and Informing Healthcare)
SMT Proprietary and Confidential
MHealth : GS1 project. © 2013 GS1 Who is GS1? GS1 is a not-for-profit organisation dedicated to the design and implementation of global standards to improve.
Group 9 Heather Cason Kevin Cooper Daron Gilmore Jason Lee Murtaza Qureshi Josh Wallace.
Paul Ashford. Safe Blood? Ensuring the provision of safe blood is a high priority Donor selection Testing Processing Quality assurance But...
UPC (Universal Product Code) [Also known as the GTIN-12]
Automating your Business Processes Using Oracle Workflow Therron Hofsetz Logical Apps, Inc.
Right Patient, Right Blood
by Joint Commission International (JCI)
The identification information system Idef-IS SwissTransfusion 2013 Dr.med. Marc Oertle The closed loop: is it the end of errors? Experiences with an identification.
A Brief Introduction to Patient Identification Using the VUHID System Barry R. Hieb, MD Chief Scientist, Global Patient Identifiers Inc. Kantara, June.
September 18, 2015 無線射頻識別 論文報告 Reported by: 廖翊婷. September 18, 2015 An RFID-based System for Emergency Health Care Services Cristina TURCU, Cornel TURCU,
Industrial Control Security & Access Control Facilities Management UNECE International Forum on Trade Facilitation Geneva, Switzerland May
National Patient Safety Goals 2011
Top Healthcare Industry Issues
Less is more? (or how to make the most of our new hospitals) Nanna Skovgaard Head of Division.
The Complete Medication Safety and Policy Solution for Care Homes.
Health Management Information Systems
Identity Management Working Group 2006 Member Meeting Tempe, AZ Barry Ribbeck Rice University.
Theme 2: Hospital design to reduce adverse events CEO, Jane Kraglund Odense University Hospital.
Introduction to the ISBT 128 Labelling Standard for Blood Components.
ICT in Healthcare. Electronic prescription service GPs and nurses can send electronic prescriptions to a dispenser (pharmacy) of the patients choice.
Homogeneity......to identify entities Spital Thun-Simmental AG Dr.med. Marc Oertle Head Clinic IT The completion of domain specific message and document.
Barcode Technology in healthcare Nowadays, published reports illustrate high rates of medical error (adverse events) and the increasing costs of healthcare.
Introducing ePMA into a Paediatric ITU Will Hall - Lead Pharmacist for ePMA.
Major Release 3.1 Global Webinar
24 Nov 2007Data Management and Exploratory Data Analysis 1 Yongyuth Chaiyapong Ph.D. (Mathematical Statistics) Department of Statistics Faculty of Science.
SSCC (Serial Shipping Container Code) How to format an SSCC.
When Supply Chain meets Care Delivery: Background on GS1 and HL7 Ulrike Kreysa Director Healthcare, GS1 Global Office.
CHANGES IN WORK FLOW FOR FACULTY SUPERVISING STUDENTS IN A CLINICAL SETTING AS A RESULT OF BAR CODE MEDICATION ADMINISTRATION Ann Carruth, Dean College.
Advancements of RFID in the Healthcare System Jesse A. Evans 3/25/07.
Anaesthesia Clinical Services Accreditation Briefing from *Hospital Name*
Efficient & Streamlined Processes Using EE Accounts Payable Presented By: Andrew J Vitullo, CPA Partner, Logan Consulting 1.
The Adoption of GS1 & PEPPOL Standards in the NHS Medicines & Pharmacy
ACSA review visit briefing from *Hospital Name*
CHANGING FOR THE BETTER
1 Accredited Southern Group. 2 Accredited Southern Group Quality of Life Group 6: 5 years Strategic Objectives Internal Process Objectives:  Excellence.
Electronic Health Records (EHR)
Digital Medicines Hospital Pharmacy Transformation Programme.
Identification of Locations & Products in complex Supply Chains
Healthcare Product Supply Interoperability
WP1: D 1.3 Standards Framework Status June 25, 2015
Budgeting and fund raising
How to format a Generic UPC
INTEGRATED ELECTRONIC HEALTH RECORD SYSTEM
PATIENT SAFETY AWARENESS COURSE FOR JUNIOR HEALTH CARE PROFESSIONAL MINISTRY OF HEALTH MALAYSIA (Inspired by WHO Patient Safety Curriculum Guide) Patient.
Barcode Printers Market
Laboratory Information System (LIS) Market (Size of $1,439 million in 2014) to Witness 7% CAGR during.
Wendy Peppel Lead Senior Manager National Blood File Dr. Angela Tonary
Collaboration in the NHS Who, and where, and making it happen
Care Through Partnership NBM Integrated Care Initiative
IS&T Project Reviews September 9, 2004.
Special Topics in Vendor-Specific Systems
Identity Verification – ROP Compliance
NPEx for referrals to NHS Blood and Transplant service
Jim Powers - Director, Fleet Engineering
GS1 & PEPPOL Standards Adoption Case Study (2017)
OpenELIS Global An open source Enterprise Laboratory Information System for Global Health Casey Iiams-Hauser, MIA Dec 2018 Photo (bottom right) courtesy.
Health Care Information Systems
Discrepancy Management
Design.
A study of two UK hospitals found that 11% of admitted patients experienced adverse events of which 48% of these events were most likely preventable.
Presentation transcript:

Homogeneity... ...to identify entities The completion of domain specific message and document definitions by process control mechanisms: Project Idef-IS: Identification as Key for Quality Management Spital Thun-Simmental AG Dr.med. Marc Oertle Head Clinic IT Medinorma LLC Christian Hay Partner

Agenda Identifications as a Challenge: Background of Project IdefIS Identifications as a Challenge: Background of Project Path to a Solution Standardisation with GS1 Deployment

Background (3) Transfusion (when declared...) Switzerland and U.K. : IdefIS Transfusion (when declared...) Switzerland and U.K. : near miss every 340 transfusion Full incompatibel transfusion with morbidity: 1:100‘000 Hospital Thun 5‘100 transfusions yearly, but : every ~ 18 Month a transfusion error Thun: März 2005-März 2006 declared events: Laboratory: 26 (wrong blood tested....) Number of non-declared errors estimated as very important CIRS (Critical Incident Reporting System) additionnally: 13 Declaration in 3 Months (13/46) concerning wrong Patient, medication given to wrong Patient (Hypnotika, Morphium, …), near wrong site surgery, wrong Patient to Xray examination. It is said that weekly laboratories have to eliminate samples badly identified

Objective: the 7 R Right patient Right time IdefIS Right patient Right time Right plan (to act): prescription e.g. Right action Right resource Right person Right place

Landscape impacting Idef-IS CIS, PIS, LIS are in place WLAN access across all the Hospital, medical and nursing documentation electronically accessible; mobility with Laptops Requirement for efficient, user friendly and safe System Hospital Group with 4 Sites No Budget

Pre-requisits for Idef-IS Existing Systems to be used Existing identifications to be used Standardisation of existing and new identifications to achieve uniqueness Role based identifications; management of attributes Generic Architecture, has to be used for all cross-matching All Resources to be handled similarly (Staff, Patient, Material, Locations)

Example of blood transfusion IdefIS Accounting / re-ordering Electronic order entry Feed-Back Blood sample with reference to Patient eID-Check Transfusion Blood analysis Clearance Cross Match with Patient Blood product dispensed

Uniqueness: GS1 IdefIS Standard System with set of components (GSRN, GLN, GTIN...) Individual : Global Company Prefix Integration of existing (non-unique) Identifications Example: Global Service Relationship Number 18 digits Code (numeric) Global Company Prefix + 10 digits + check digit GCP+ (Attribut+existing identification)+C

Concept IdefIS IdefIS GS1: uniqueness; attributes for roles

Identity Management GCP PAT FID p 7601005 200 2258316 6 IdefIS GS1 unique Role Management Standardisation GCP PAT FID p 7601005 200 2258316 6 760100520022583166 Identification: Who/What is it Mapping: belongs to ? Validiation: expiry date? reading the 3 entities in free sequences Idef-IS Tabels

AIDC (Automatic Identification Data Capture) IdefIS GS1 GTIN Medication Proprietary Barcode (migration to GS1 planed) Blood sample RFID ISO 15693 Patient wristband GS1 GTIN Materials RFID ISO 15693 Badge Staff ISBT 128 Blood product

Last but not least Dr. Lucian Leape, Harvard School of Public Health IdefIS Incompetent people are, at most, 1% of the problem. The other 99% are good people trying to do a good job who make very simple mistakes and it's the processes that set them up to make these mistakes. Dr. Lucian Leape, Harvard School of Public Health

Contact Dr.med. Marc Oertle marc.oertle@spitalstsag.ch IdefIS Dr.med. Marc Oertle marc.oertle@spitalstsag.ch Christian Hay hay@medinorma.ch