S

Bar CodingPresented By:Kelly Dwyer

Objectives

Describe Bar Coding Describe How Bar Coding is Used in Today’s Healthcare Examine Financial Implications Discuss Patient Safety Examine Accuracy of Medication Administration Discuss Advantages/Disadvantages from a Nursing

Perspective

Bar Coding☐ A way to represent data that is fast and easy.

☐ Typically a reference number used to look up data.

☐ First introduced into clinical area of healthcare in mid 1990’s

(HIMSS, 2003)

Bar Coding Efficient way to ID patient Used to administer meds Fast access to patient info Helps prevent med errors Systematic way of charting

(HIMSS, 2003)

Bar Coding

Where can bar codes be found? Patient ID bracelets Medications OR tools Supplies

(Hankin, 2002)

Hardware

Computer

Bar Code Scanner

Keyboard

Mouse

Printer

Labels

(CYBRA, 2010)

Barcode Scannero Optical/laser devicesoInterpret data within barcodeoVarious scanners availableoSaves time and money oEliminates errors

(Azalea, 2009)

Software

Meditech IT Medical Solutions BarControl Code Corporation JADAK

(JAZD Market, 2010)

MEDITECH

Allows nurse to see: Demographic data Allergies Lab results Med/Trans orders Clinical indicators Editable drug monographs

(eMAR) Dose instructions

(Medical Information Technology, Inc, 2010)

Software used for bar coding Status board and electronic chart Easy access to data Helps eliminate med errors

Usability

Software easy to use Uses cognitive walkthrough Software tested prior to launch Field study

( Effken, 2009)

Information System Computer based system Combination of software, hardware and telecommunicationComposed data that is analyzed

(McGonigle & Mastrain, 2009)

Summary of CBIS

Clinical information system

Used by: nurses, physicians, pharmacists, etc.

Functions mainly for documentation purposes

Point of Care configuration

American National Standards Institute (ANSI)

Health Industry Business Communications Council (HIBCC)

(Hankin, 2002)

Summary of CBIS

National Patient Safety Goals

Highly recommended

(Foote & Coleman, 2008)

BCMA Advantages

Medication Administration Safety using 6 rights

Helps identify potential errors Medication administration

accuracy

Easy documentation of meds

Time saver

Cost efficiency

Five Goals for BCMA

1. Increase patient safety

2. Increase patient satisfaction

3. Increase efficiency

4. Increase nursing satisfaction

5. Decrease patient care costs

(Foote & Coleman, 2008)

BCMA Disadvantages

Errors on wristbands at registration

Wrong wristband on patient

Font size on wristband

Scanning bar code can disturb patient

All meds not documented

(McDonald, 2006)

Ethical/Legal Issues

Patient information left on computer screen

Lack of medication observation Documentation errors

Flaws in system

(Foote & Coleman, 2008)

Informatics Competencies

General education on system One on one user instructions Refresher courses Training of power users

(Cummings, Bush, Smith & Matuszewski, 2005)

Functions & Responsibilities of Informatics Nurse

Involved in: Selection, Design, Implementation and Evaluation

Daily use of: Computers, Technology, and Systems

May become super users Use nursing process

(Daurio, 2002)

Summary

Way to identify patients

Bar codes found in many places

Helps prevent med errors

Cost effective

Allows for easy documentation

Increases nursing satisfaction

(HIMSS, 2003)

References• Azalea Software. (2009). Barcode FAQ. Retrieved October 8 2010 from

www.azalea.com • Cummings, J., Bush, P., Smith, D, & Matuszewski, K. (2005). American

Journal of Health-System Pharmacy. Bar-coding medication administration

overview and consensus recommendations. • CYBRA Corporation (2010). CYBRA Bar Code Solutions: Hardware and Labels. Retrieved October 8 2010 from www.cybra.com • Daurio, N.R. (2002). Nurse Week. Nurses Embrace Technology. Retrieved on

November 17 2010 from www.nursingspectrum.com • Effken, J. (2009). Nursing Informatics and the Foundation of Knowledge. Improving the Human-Technology Interface. • Foote, S.O. & Coleman, J.R. (2008). Nursing Economics. Medication Administration: the implementation process of barcoding for medication

administration to enhance medication safety. Retrieved October 29, 2010 from

www.findarticles.com • Hankin, R.A. (2002). Bar Coding in Healthcare- A Critical Solution. Business

Briefing: Medical Device Manufacturing & Technology . Retrieved September 14

2010 from www.hibcc-au.com.au/Reference%20Files/Hankin_pap.pdf

References• HIMSS (2003). Bar Code Technology in Healthcare [DX Reader Version]. Retrieved September 12 2010 from www.mckesson.com • JAZD Markets, Inc (2010). Bar Coding System Companies: Healthcare Bar Coding System. Bar Coding System. Retrieved October 8 2010 from www.jazdhealthcare.com• Medical Information Technology, Inc. (2010). MEDITECH. Patient Care System Functionality Brief. Retrieved October 8 2010 from www.meditech.com• McDonald, C.J. (2006). Annuals of Internal Medicine. Computerization Can Create

Safety Hazards: A Bar-Coding Near Miss. Retrieved on November 17 2010 from www.annuals.org.

• McGonigle, D. & Mastrain, K. (2009). Nursing Informatics and the Foundation of Knowledge. Introduction to Information, Information Science, and Information Systems.•Staggers, Nancy. (2003). Human Factors: Imperative Concepts for Critical Care

Retrieved October 8 2010 from ereserves@psulias.psu.edu