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P O IN T-O F-C A R E
TEC H N O LO G Y
R IS K FA C TO R FO R M ED IC ATIO N ER R O R S :
*Increase of drugs in
the last 10 years
*Staff shortages
*Sound-alikes,
look-alikes
S ym b olog y
is the "language" of a bar
code, and its what the
scanner must read. The
bar code is a collection
of white spaces and
lines
thatrepresentan
item, and that your
computer uses to look
up the record of
information about that
Consumer Awareness
Patient Safety
(medication safety, blood transfusion
safety, laboratory specimen collection
safety)
B A R C O D E TEC H N O LO G Y
Series
Series
of
of vertical
vertical lines
lines and
and spaces
spaces that
that
scanner
scanner converts
converts to
to electrical
electrical signal
signal
understood
understood by
by computer
computer
Used
Used
in
in grocery
grocery stores
stores since
since 1970s
1970s
Can
Can
store
store alpha
alpha and
and numeric
numeric and
and
information
information
Provides
Provides
accurate,
accurate, fast,
fast, realtime
realtime data
data
collection
collection and
and entry
entry
Offers
Offers
exceptional
exceptional security
security
B A R C O D E M ED IC ATIO N
A D M IN IS TR ATIO N TEC H N O LO G Y
Nurse barcode scans name tags
o Nurse barcode scans patient identification bracelet
o Patient MAR appears on bedside laptop or handheld
device
o Scheduled and PRN meds are scanned
o Warnings/alerts are issued when indicated
o Automatic documentation of
administration activities
o
Other
Other levels
levels of
of functionality
functionality include:
include:
increased
increased level
level of
of accountability
accountability
up-to-date
up-to-date drug
drug reference
reference information
information from
from online
online
medication
medication libraries
libraries
customizable
customizable comments
comments or
or alerts
alerts and
and reminders
reminders of
of
important
important clinical
clinical actions
actions that
that need
need to
to be
be taken
taken when
when
administering
certain
medications
administering certain medications
monitoring
monitoring the
the pharmacy
pharmacy and
and the
the nurses
nurses response
response to
to
predetermined
predetermined rules
rules or
or standards
standards for
for the
the rules
rules engine
engine
such
such as
as alerts
alerts or
or reminders
reminders
reconciliation
reconciliation for
for pending
pending or
or STAT
STAT orders
orders
capturing
capturing data
data for
for the
the purpose
purpose of
of retrospective
retrospective analysis
analysis
of
of aggregate
aggregate data
data
verifying
verifying blood
blood transfusion
transfusion and
and laboratory
laboratory specimen
specimen
collection identification
Nurses
Nurses were
were sometimes
sometimes caught
caught off
off guard
guard by
by the
the
programmed
programmed automated
automated actions
actions taken
taken by
by the
the BPOC
BPOC
software
software
The
The BPOC
BPOC seemed
seemed to
to inhibit
inhibit the
the coordination
coordination of
of
patient
patient information
information between
between prescribers
prescribers and
and nurses
nurses
when
when compared
compared to
to a
a traditional
traditional paper-based
paper-based system.
system.
Nurses
Nurses find
find it
it more
more difficult
difficult to
to deviate
deviate from
from the
the routine
routine
medication
medication administrative
administrative sequence
sequence with
with the
the BPOC
BPOC
system.
system.
Nurses
Nurses feel
feel that
that their
their main
main priority
priority is
is the
the timeliness
timeliness of
of
medication
medication administration
administration because
because the
the BPOC
BPOC requires
requires
nurses
nurses to
to type
type in
in an
an explanation
explanation when
when medications
medications
were
were given
given even
even a
a few
few minutes
minutes late.
late.
Nurses
Nurses use
use strategies
strategies to
to increase
increase efficiency
efficiency that
that
circumvented
circumvented the
the intended
intended use
use of
of BPOC.
BPOC.
Omissions
Extra dose
Wrong drug
Wrong dose
Unauthorized drug
Charting errors
Wrong dosage form