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Why barcode medications? Admin Rx at the Medical University of South Carolina.

Published byPatrick Norris Modified over 9 years ago

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Presentation on theme: "Why barcode medications? Admin Rx at the Medical University of South Carolina."— Presentation transcript:

1 Why barcode medications? Admin Rx at the Medical University of South Carolina

2 More people die in a given year as a result of medical errors than from motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516). Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999 Why barcode medications?

3 Nationally 2 of every 100 admissions experienced a preventable adverse drug event, resulting in increased hospital costs of $4,700 per admission. This is $2.8 million annually for a 700-bed teaching hospital. Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999 Why barcode medications?

4 Where do medication errors occur? Transcription 6% Dispensing 4% Administration 34% Ordering 56% Bates, Cullen, Laird, et al. “Incidence of Adverse Drug Events and Potential Adverse Drug Events.” JAMA, 1995, 274, 29-34.

5 Right drug75% improvement Right dose62% improvement Right patient93% improvement Right time87% improvement Missed meds70% improvement *Johnson, Carlson, Tucker, & Willette Using BCMA in VA Medical Centers Journal of Healthcare Information Management-Vol 16, No.1 Why barcode medications? *Barcode Medication Administration (BCMA) in VA Medical Centers*:

6 8,000,000doses dispensed 549,000errors prevented 0documented errors *Eastern Kansas Health Care System (VA) 1994-2001*: Why barcode medications?

7 0 documented errors? On what does this depend? How do we define “error”? Doing BCMA the right way Why barcode medications? *Eastern Kansas Health Care System (VA) 1994-2001*:

8 How do we define “error”? failure of a planned action to be completed as intended (an error of execution) or the use of a wrong plan to achieve an aim (an error of planning) How we define a med error at MUSC? deviation from what the prescriber intended er·ror Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999 Why barcode medications?

9 Admin Rx at MUSC Doing BCMA the right way Will we alter the wrist scanning process for –Isolation patients –Emergency Department –Surgery –NICU, nursery Details of dispensed medications –Half pill ordered, half pill delivered –Insulin, topicals –IVF with additives

10 How we catch medication errors- a closed loop system: eMeds (Pharmacy) Clin DocAdminRx CPOE (Computerized Provider Order Entry)

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