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Why barcode medications?

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

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Why barcode medications?

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

  2. Why barcode medications? 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

  3. Why barcode medications? 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

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

  5. Why barcode medications? *Barcode Medication Administration (BCMA) in VA Medical Centers*: • Right drug 75% improvement • Right dose 62% improvement • Right patient 93% improvement • Right time 87% improvement • Missed meds 70% improvement *Johnson, Carlson, Tucker, & Willette Using BCMA in VA Medical Centers Journal of Healthcare Information Management-Vol 16, No.1

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

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

  8. Why barcode medications? • How do we define “error”? er·ror • 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 Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999

  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:

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