Bar Coding Presented By Kelly Dwyer S Objectives

Bar Coding Presented By: Kelly Dwyer S

Objectives S Describe Bar Coding S Describe How Bar Coding is Used in Today’s Healthcare S Examine Financial Implications S Discuss Patient Safety S Examine Accuracy of Medication Administration S 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 ü Efficient way to ID patient ü Used to administer meds ü Fast access to patient info ü Helps prevent med errors ü Systematic way of charting (HIMSS, 2003)

Bar Coding v Where can bar codes be found? v Patient ID bracelets v Medications v OR tools v Supplies (Hankin, 2002)

Hardware S Computer S Bar Code Scanner S Keyboard S Mouse S Printer S Labels (CYBRA, 2010)

Barcode Scanner o Optical/laser devices o. Interpret data within barcode o. Various scanners available o. Saves time and money o. Eliminates errors (Azalea, 2009)

Software S Meditech S IT Medical Solutions S Bar. Control S Code Corporation S JADAK (JAZD Market, 2010)

Allows nurse to see: v Demographic data v Allergies v Lab results MEDITECH v Software used for bar coding v Med/Trans orders v Clinical indicators v Editable drug monographs (e. MAR) v Dose instructions v Status board and electronic chart v Easy access to data v Helps eliminate med errors (Medical Information Technology, Inc, 2010)

Usability Software easy to use Uses cognitive walkthrough Software tested prior to launch Field study ( Effken, 2009)

Information System ü Computer based system ü Combination of software, hardware and telecommunication üComposed data that is analyzed (Mc. Gonigle & Mastrain, 2009)

Summary of CBIS S Clinical information system S Used by: nurses, physicians, pharmacists, etc. S Functions mainly for documentation purposes S Point of Care configuration S American National Standards Institute (ANSI) S Health Industry Business Communications Council (HIBCC) 2002) (Hankin,

Summary of CBIS S National Patient Safety Goals S Highly recommended (Foote & Coleman, 2008)

BCMA Advantages S S S Medication Administration Safety using 6 rights Helps identify potential errors Medication administration accuracy Easy documentation of meds Time saver Cost efficiency S Five Goals for BCMA 1. Increase patient safety 2. Increase patient satisfaction 3. Increase efficiency 4. Increase nursing satisfaction 5. Decrease patient care costs 2008) (Foote & Coleman,

BCMA Disadvantages S Errors on wristbands at registration S Wrong wristband on patient S Font size on wristband S Scanning bar code can disturb patient S All meds not documented (Mc. Donald, 2006)

Ethical/Legal Issues S Patient information left on computer screen S Lack of medication observation S Documentation errors S Flaws in system (Foote & Coleman, 2008)

Informatics Competencies S General education on system S One on one user instructions S Refresher courses S Training of power users (Cummings, Bush, Smith & Matuszewski, 2005)

Functions & Responsibilities of Informatics Nurse v Involved in: ü Selection, Design, Implementation and Evaluation v Daily use of: ü Computers, Technology, and Systems v May become super users v Use nursing process (Daurio, 2002)

Summary S Way to identify patients S Bar codes found in many places S Helps prevent med errors S Cost effective S Allows for easy documentation S 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

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. 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 • Mc. Donald, 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. • Mc. Gonigle, 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