iv medication safety from the pharmacy to the bedside · chances of iv compounding and infusion...

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References 1 Prusch AE, Suess TM, Paoletti RD, Olin ST, Watts SD. Integrating technology to improve medication administration. Am J Health Syst Pharm. 2011;68(9): 835–842. 2 Flynn EA, Pearson RE, Barker KN. Observational study of accuracy in compounding i.v. admixtures at five hospitals. Am J Health Syst Pharm. 1997;54(8):904–912. 3 Reece KM, Lozano MA, Roux R, Spivey SM. Implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy. Am J Health Syst Pharm. 2016;73(3):165–173. 4 ECRI Institute. Infusion Pump Integration. In: ECRI Institute. Health Devices. Plymouth Meeting, PA: ECRI Institute; 2013: 210–221. 5 Biltoft J, Finneman L, Thullbery J, Graves J, Roedecker K. Implementation and Benefits of Interoperability Between the Electronic Medical Record (EMR) and Infusion Pump. Poster presented at: American Society of Health-System Pharmacists Midyear Clinical Meeting and Exhibition; December 6–10, 2015; New Orleans, LA. © 2017 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company. DI6894 (0417/2000) bd.com BD, San Diego, CA, 92130, U.S. Scan the drug. 2 STOP BD Cato resulted in a 74-fold increase in the detection of medication errors. 3 3 Perform gravimetric analysis. 1 Pharmacist-verified order is sent to BD Cato . Pharmacy workflow Nurse tracks the status of prepared medications. 5 6 Assess patient. Scan patient ID, medication and the Alaris System module. EMR Verify and print BCMA label. 4 8 Verify infusion status for documentation. EMR "BD Cato prevented a medication error that could have easily slipped through the cracks . . . [H]ad BD Cato not been in place to make this correction, it would have been easy to miss the odd concentration yielding two times above the ordered dose." Nathan Barnes, PharmD, Lead Pharmacist, UNC HealthCare RIGHT DRUG RIGHT DOSE RIGHT LABEL RIGHT ORDER RIGHT LOCATION RIGHT PUMP PROGRAMMING 75% of infusion-related medication errors are avoided with interoperability. Only 28% can be averted with dose error reduction software alone. 4 IV medication safety from the pharmacy to the bedside Pharmacists can do everything right, but errors can occur at the point of infusion. Nurses can do everything right, but errors can happen during IV compounding in the pharmacy. An estimated 56% of medication errors are IV-related, and 61% of these errors are life-threatening. 1 One in 10 complex IVs is compounded inaccurately. 2 ONE ERROR is all it takes to cause a potential fatal patient event. Nursing workflow RIGHT INFUSION DATA SENT Help protect your patients from IV medication errors Built on a common platform that leverages interoperability with your hospital information system, BD solutions support standardization to help reduce chances of IV compounding and infusion pump programming errors, increasing medication safety. Give pharmacy staff and nurses peace of mind—with BD solutions. "Hospital leadership must support the acquisition of IV admixture technologies that incorporate barcoding and safety features like gravimetrics. " Darryl Rich, PharmD, MBA, FASHP, ISMP Medication Safety Specialist 7 Review prepopulated pump parameters and start infusion. EMR "Reduced manual key strokes by 86% by eliminating almost 42 million key presses annually across eight hospitals." Jennifer Biltoft, PharmD, BCPS, SCL Health System EMR 40% decrease in lost charges for outpatient IV infusion claims represented $370,000 in incremental revenue for a 286 bed hospital. 6

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References1 Prusch AE, Suess TM, Paoletti RD, Olin ST, Watts SD. Integrating technology to improve medication administration. Am J Health Syst Pharm. 2011;68(9): 835–842. 2 Flynn EA, Pearson RE, Barker KN. Observational study of accuracy in compounding i.v. admixtures at five hospitals. Am J Health Syst Pharm. 1997;54(8):904–912. 3 Reece KM, Lozano MA, Roux R, Spivey SM. Implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy. Am J Health Syst Pharm. 2016;73(3):165–173. 4 ECRI Institute. Infusion Pump Integration. In: ECRI Institute. Health Devices. Plymouth Meeting, PA: ECRI Institute; 2013: 210–221. 5 Biltoft J, Finneman L, Thullbery J, Graves J, Roedecker K. Implementation and Benefits of Interoperability Between the Electronic Medical Record (EMR) and Infusion Pump. Poster presented at: American Society of Health-System Pharmacists Midyear Clinical Meeting and Exhibition; December 6–10, 2015; New Orleans, LA.

© 2017 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company. DI6894 (0417/2000)

bd.com

BD, San Diego, CA, 92130, U.S.

Scan the drug.2

STOP

BD Cato resulted in a 74-fold increase in the detection of medication errors.3

3 Perform gravimetric analysis.

1 Pharmacist-verified order is sent to BD Cato™.

Pharmacy workflow

Nurse tracks the status of prepared medications.

5

6 Assess patient. Scan patient ID, medication and the Alaris™ System module.

EMR

EMR

Verify and print BCMA label. 4

EMR

EMR

8 Verify infusion status for documentation.

EMR

"BD Cato prevented a medication error that could have easily slipped through the cracks . . . [H]ad BD Cato not been in place to make this correction, it would have been easy to miss the odd concentration yielding two times above the ordered dose." Nathan Barnes, PharmD, Lead Pharmacist, UNC HealthCare

RIGHT DRUG

RIGHT DOSE

RIGHT LABEL

RIGHT ORDER

RIGHT LOCATION

RIGHT PUMP PROGRAMMING

EMR

75% of infusion-related medication errors are avoided with interoperability. Only 28% can be averted with dose error reduction software alone.4

IV medication safety from the pharmacy to the bedsidePharmacists can do everything right, but errors can occur at the point of infusion. Nurses can do everything right, but errors can happen during IV compounding in the pharmacy. An estimated 56% of medication errors are IV-related, and 61% of these errors are life-threatening.1 One in 10 complex IVs is compounded inaccurately.2

ONE ERROR is all it takes to cause a potential fatal patient event.

Nursing workflow

EMR

RIGHT INFUSION DATA SENT

Help protect your patients from IV medication errorsBuilt on a common platform that leverages interoperability with your hospital information system, BD solutions support standardization to help reduce chances of IV compounding and infusion pump programming errors, increasing medication safety.

Give pharmacy staff and nurses peace of mind—with BD solutions.

"Hospital leadership must support the acquisition of IV admixture technologies that incorporate barcoding and safety features like gravimetrics. " Darryl Rich, PharmD, MBA, FASHP, ISMP Medication Safety Specialist

7 Review prepopulated pump parameters and start infusion.EMR

"Reduced manual key strokes by 86% by eliminating almost 42 million key presses annually across eight hospitals." Jennifer Biltoft, PharmD, BCPS, SCL Health System

EMR

40% decrease in lost charges for outpatient IV infusion claims represented $370,000 in incremental revenue for a 286 bed hospital.6