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Anywhere RN™ creates a flexible medication administration process that positively impacts nursing and patient safety.
The latest release of Anywhere RN software features enhanced privacy for patient data and more configurable options to improve patient safety and assist in meeting regulatory requirements.
Crowding at the ADCs takes valuable time away from nurses and also limits access for pharmacy. By reducing the number of trips to and from the ADC, Anywhere RN helps reduce the potential for interruptions that can lead to medication errors in nursing, and it frees up more time for patient care.
Fewer lines at the cabinet during the medication pass process increases nurse satisfaction. When used with Omnicell's Savvy™ mobile medication workstation, nurses can securely retrieve medications for multiple patients in one trip to the cabinet.
Kimberly Hiatt, a longtime critical care nurse at Seattle Children's Hospital, committed suicide in April, seven months after accidentally overdosing a fragile baby.
Stunned, she told nearby staff at the Cardiac Intensive Care Unit at Seattle Children’s Hospital what had happened. In Hiatt’s 24-year career, all of it at Seattle Children’s, dispensing 1.4 grams of calcium chloride — instead of the correct dose of 140 milligrams — was the only serious medical mistake she’d ever made, public investigation records show.
That mistake turned out to be the beginning of an unraveled life, contributing not only to the death of the child, 8-month-old Kaia Zautner, but also to Hiatt’s firing, a state nursing commission investigation — and Hiatt's suicide on April 3 at age 50. Hiatt’s dismissal — and her death — raise larger questions about the impact of errors on providers, the so-called “second victims” of medical mistakes. It’s meant to describe the twin casualties caused by a serious medical mistake: The first victim is the patient, the person hurt or killed by a preventable error — but the second victim is the person who has to live with the aftermath of making it. No question, the patients are the top concern in a nation where 1 in 7 Medicare patients experiences serious harm because of medical errors and hospital infections each year, and 180,000 patients die, according to a November 2010 study by the Department of Health and Human Services’ Office of Inspector General. That’s nearly double the 98,000 deaths attributed to preventable errors in the pivotal 2000 report “To Err is Human,” by the Institute of Medicine, which galvanized the nation's patient safety movement. In reality, though, the doctors, nurses and other medical workers who commit errors are often traumatized as well, with reactions that range from anxiety and sleeping problems to doubt about their professional abilities — and thoughts of suicide, according to two recent studies. Surgeons who believed they made medical errors were more than three times as likely to have considered suicide as those who didn’t, according to a January survey of more nearly 8,000 participants published in the Archives of Surgery. Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an estimated 50 percent in recent years, experts say. Even when they don’t think of killing themselves, medical workers who make errors are often shaken to their core, said Amy Waterman, an assistant professor of medicine at Washington University in St. Records show that Hiatt had cared for Kaia Zautner many times since her birth, when the baby with severe heart problems was first brought to Seattle Children’s. After the overdose, the child’s parents asked that Hiatt not care directly for their baby, but they did not appear to seek retribution, according to an investigation report by Cathie Rea, the hospital’s director of ICU.
It’s not clear whether Hiatt’s mistake actually caused the death of the child, who was critically ill. Still, Hiatt was escorted from the hospital after the mistake, immediately put on administrative leave and then fired within weeks. After the incident, Hiatt "was a wreck,” recalled Julie Stenger, 39, of Seattle, a critical care nurse who worked with Hiatt at the hospital. Officials at Seattle Children’s Hospital declined to discuss specifics about Hiatt’s termination, although they said there is “more behind Kim’s case than can be made public” because of personnel and privacy policies. They said the hospital has since 2007 followed a so-called “Just Culture” model, which recognizes the need to use errors to identify and correct systemic problems, rather than focusing on penalizing individuals. Experts in patient safety say terminating an individual worker is rarely the answer to even the worst mistakes, unless they’re the result of repeated, willful flouting of established procedures or intentional harm. It’s far better to identify and address the problems in the system that contributed to the error, said Mary Z. Of those, two-thirds reported anxiety about future errors and half reported decreased job confidence and satisfaction, the study found. There are other options to punitive actions, including education, supervision, reparations to the patient or family — and allowing the person who made the mistake to help craft specific systems to make sure it can't happen again, Scott said. In some ways, however, those who’ve made mistakes might be even safer than those who haven’t, she added.


On the day of Hiatt’s error, she admitted the mistake in a report submitted on the hospital’s electronic feedback system — and vowed not to repeat it. A co-worker had filed a sexual harassment claim against Hiatt, who was a lesbian, in 2008, alleging Hiatt acted inappropriately by hugging her and kissing her on the cheek. Seattle Children’s officials denied that Hiatt’s personal life had anything to do with her dismissal. Records show that Hiatt was stunned to be terminated for what she believed was a single medical error in nearly a quarter-century of service. A storm of media attention followed news of the error, spurring state nursing commission officials to open an investigation into whether Hiatt’s license should be revoked. After fighting to keep her license, Hiatt didn’t think she’d find another position in Seattle, family members said. Faced with the prospect of not working again as a nurse, Hiatt was overcome with despair, family members said.
Hiatt’s death has unleashed a storm of reaction from her family, her colleagues — and from fellow nurses. A survey of WSNA nurses in the months after Hiatt’s case became public found that half of respondents believe their mistakes will be held against them personally. Across the country, patient safety advocates — speaking both generally and about public reports of Hiatt's case — worry that firing providers after they make mistakes leaves patients at greater risk. Officials at Seattle Children’s say armchair safety experts don’t know the details of Hiatt’s case.
For Hiatt’s friends and family, all the debate in the world is useless unless it actually serves to change the circumstances that led to two tragedies: the loss of a fragile baby and the death of a nurse who loved her job.
News Corp is a network of leading companies in the worlds of diversified media, news, education, and information services. Hospitals are freeing up nurses to do the one thing they often don't have enough time for: taking care of patients. The Savvy™ mobile medication workstation from Omnicell should not be confused with ordinary hospital medication carts. This fully integrated solution features Omnicell's Anywhere RN™ software application and a wireless, medical-grade mobile workstation.
The Anywhere RN software allows nurses to order medications in quieter areas away from interruptions, assisting in preventing medication errors.
Savvy provides secure transport of medications from the ADC to the point-of-care, creating a critical layer of accountability and addressing ISMP recommendations for safe transport of medications. Nurses can place all needed patient medications for a medication pass into patient-assigned locking drawers and then move from room to room, instead of returning to the ADC between each patient.
Reduces trips back to the cabinet to record medication waste, which can now be done remotely. Savvy seamlessly integrates the Omnicell ADC, mobile workstation, and bedside point-of-care (BPOC) systems during the medication administration process, to enable a closed-loop process for tracking medication accountability.
Savvy is part of the Unity platform of solutions that share a single database, helping to eliminate redundant data entry that can lead to errors. Eliminates the manual process of labeling drawers: patient-specific drawers (up to 12) are automatically assigned via the software.
Features independently locking drawers, which minimizes the risk of administering the wrong medication to a patient. Omnicell’s unique guiding lights technology helps nurses quickly identify the drawer that has been unlocked, adding speed and convenience to the medication administration process.
Lithium-ion hot-swap battery system (2 batteries) provides up to 18 hours of continuous run time. Battery charging station conveniently charges depleted battery without having to plug the Savvy unit into a power outlet. Nurses can focus on patients without worrying about running out of power at a critical time.
It is a web-based application that lets nurses remotely perform medication management tasks away from the automated dispensing cabinet (ADC).
Nurses often feel rushed if others are waiting in line, which causes stress and can increase the potential for medication errors.


Nurse interrupted: South Jersey Hospital uses technology to reduce disruptions, avoid errors. 14, the moment she realized she’d overdosed a fragile baby with 10 times too much medication. But many doctors are puzzled because the operation doesn't carry a 100 percent guarantee, it's major surgery -- and women have other options, from a once-a-day pill to careful monitoring.
Louis, who studied the issue in a 2007 survey of more than 3,100 practicing doctors in the U.S. The mistake “exacerbated cardiac dysfunction” in the baby and led to her decline, according to a statement by cardiologist Dr.
Waterman, the Washington University researcher, found that 92 percent of the doctors she surveyed said they’d experienced a near miss, a minor error or a serious error — and 57 percent confessed to a serious mistake. Although the survey focused on doctors, researchers said they believed the results could apply broadly to nurses and other health care workers as well. When harm occurs, the providers are haunted by every detail of the mistakes, often for years, said Susan D. Hospital officials said that Hiatt should have recognized that the dose was far too large for such a small child, and that Hiatt violated other dosing protocols. In a letter, Hiatt denied there was anything sexual about the action, which she said was meant to comfort the co-worker during a tough time, and described the investigation as a “witch hunt.” She said the Human Resources department had a history of discriminating against her because of her sexual orientation with one document dating to 1994.
Ultimately, the agency imposed sanctions instead, including a $3,000 fine, 80 hours of new coursework on medication administration and four years of probation in which any supervisor would be required to report on Hiatt's work every 90 days.
After Hiatt's firing, the Washington State Nurses Association, which represents nurses at Seattle Children's, grieved her dismissal and negotiated a confidential settlement with the hospital on her behalf. Even more worrisome, nearly a third say they would hesitate to report an error or patient safety concern because they’re afraid of retaliation or harsh discipline. They indicated they changed the way calcium chloride is dispensed in response to Hiatt’s error to make it safer, even though a state investigation found that appropriate safeguards were already in place. Swamped with tasks such as hunting for supplies, tracking down medications, filling out paperwork at the nursing station and looking for missing test results, nurses may spend less than two hours of a 12-hour shift in direct patient care, studies show. Savvy streamlines the medication administration process and provides safe and secure transportation of medications from the automated dispensing cabinet (ADC) to the patient's bedside. Because clinicians can remotely select patient medications quickly and securely, from any location at any time, their transaction time at the ADC is reduced, providing more time for direct patient care. Nurses can use the Savvy mobile medication workstation, which integrates Omnicell's Anywhere RN software, to request, retrieve, and deliver all of their patients' medications for a medication pass with a single trip to the cabinet, without compromising on security.
Albert Wu, a professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health. Scott, a registered nurse and patient safety director at the University of Missouri Health Care. Investigation records show that officials worried that Hiatt didn't fully recognize her role in the error. Since then, WSNA officials have heard from many nurses worried about making mistakes themselves. They say critics haven't contacted them to ask about procedures for reporting and correcting errors, or for supporting staff when mistakes occur. That hospital is among a handful in the country to have established a formal support system to help providers cope with difficult patient outcomes or errors. 30, 2010 evaluation identified her as a “leading performer,” earning a mark of 4 on a 5-point scale, records show. However, state lawyers said the child’s fragile condition and poor prognosis would have made it difficult to prove legally that the overdose caused her death five days later, records show.




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