Hospital medication errors statistics examples,diabetes treatment effectiveness jobs,m 24 news south africa - Reviews

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Images from the web about medication errors may be common after hospital discharge, hope you like them. The use of pharmaceuticals is an essential element of the American health care system, helping to treat acute illnesses and maintain control of chronic conditions in many people.
This Statistical Brief presents data from the Healthcare Cost and Utilization Project (HCUP) on medication- or drug-related adverse outcomes that were seen in hospitals in 2008, updating previously published information on inpatient stays in 2004.5 In addition, we provide information on these occurrences in treat-and-release emergency department (ED) visits.
Among inpatient stays with drug-related adverse outcomes, the mean patient age was 62.8 years. Over the five years between 2004 and 2008, there was a 52 percent increase in drug-related adverse outcomes in the inpatient setting—more than half of this increase was due to corticosteroids, anticoagulants, and sedatives and hypnotics. In the inpatient setting, corticosteroids, such as prednisone, caused 13.2 percent of all drug-related adverse outcomes. Over 53 percent of all inpatient stays with a drug-related adverse outcome were for patients 65 or older.
Among treat-and-release ED visits involving drug-related adverse outcomes, analgesics and antibiotics were common causes of events for all age groups. A similar pattern was observed in treat-and-release ED cases, although the mean age of 39.4 years was significantly lower than the mean age for inpatient cases.
For each hospital stay or ED visit, multiple drug-related adverse outcomes can be reported. As shown in table 2, in the inpatient setting, hormones and synthetic substitutes were the most common cause of general drug-related adverse outcomes, responsible for 16.1 percent of all drug-related adverse outcomes (345,300 events).
From 2004 to 2008, the proportion of drug-related adverse outcomes caused by agents that affect blood constituents also increased. In the inpatient setting, hormones, analgesics, and systemic agents were among the top five most common causes of drug-related adverse outcomes for all age groups (figure 4). Among treat-and-release ED visits, analgesics and antibiotics were among the most common causes of drug-related adverse outcomes for all age groups (figure 5). The estimates in this Statistical Brief are based upon data from the HCUP 2008 Nationwide Inpatient Sample (NIS) and 2008 Nationwide Emergency Department Sample (NEDS).
The principal diagnosis is that condition established after study to be chiefly responsible for the patient's admission to the hospital or visit to the ED. ICD-9-CM is the International Classification of Diseases, Ninth Revision, Clinical Modification, which assigns numeric codes to diagnoses. Total hospital charges were converted to costs using HCUP Cost-to-Charge Ratios based on hospital accounting reports from the Centers for Medicare and Medicaid Services (CMS).8 Costs will tend to reflect the actual costs of production, while charges represent what the hospital billed for the case. HCUP is a family of powerful health care databases, software tools, and products for advancing research. The HCUP Nationwide Inpatient Sample (NIS) is a nationwide database of hospital inpatient stays.
The HCUP Nationwide Emergency Department Database (NEDS) is a unique and powerful database that yields national estimates of emergency department (ED) visits. AHRQ welcomes questions and comments from readers of this publication who are interested in obtaining more information about access, cost, use, financing, and quality of health care in the United States. 6 Specific ICD-9-CM codes used in this study are listed in the Definitions section of this report.
Over the past few years, hospital organizations have increasingly looked to new technology solutions to improve patient safety.
Barcodes provide a valuable verification of medication administration by assuring that the "five rights" are confirmed — right patient, right medication, right dose, right time, and right route of administration. This case study examines the use of a wireless, mobile barcode medication administration system at Beloit Memorial Hospital in Beloit, Wisconsin, a 175-bed community hospital with four off-site clinics, serving a population of approximately 175,000 residents living in southwestern Wisconsin and northwestern Illinois.
The hospital has a formal affiliation with the University of Wisconsin Hospital System and an active though informal affiliation with Rockford Hospital in Rockford, Illinois.
These units presented a more complex environment than the FCC, treating patients with generally more serious medical conditions, who often required more medications. The main goal of this study was to identify and measure the benefits of a wireless barcode system to reduce medication administration errors.
Conduct an onsite visit, both pre- and post-implementation of the wireless barcode system in the four new inpatient units.
Determine pre- and post-implementation medication administration error rates in these units. Pre- and post-implementation site visits were conducted by an independent consultant who interviewed senior nursing management, the unit managers, and the nurses charged with medication administration responsibilities; and observed the medication administration rounds. The pre-implementation visit was conducted in late June 2004, and the post-implementation visit was conducted in December 2004, to review the results of the system four months after the "go-live" date. The hospital Board of Trustees and senior management have focused on establishing a culture of cooperation and communication aimed at improving the quality of patient care.
Improve patient safety through the reduction of medication administration errors, while minimally increasing nurse staffing time requirements. In February 2003, the Board of Trustees unanimously approved funding for a bar-code pilot project in the FCC, which began in July 2003. The SCC, an oncology unit, was selected as the second unit for barcode utilization implementation due to the fact that it administered many medications yet it was a relatively small unit with seven beds. SCC staff training on the barcode system was conducted over a one-week period immediately prior to go-live. Based on the success of the implementation in both the FCC and the SCC units, the decision was made to bring on three additional units simultaneously. Other factors also had a positive influence on the barcode system adoption in these new units including the initial success of the FCC pilot and nursing staff's generally high level of satisfaction with the new system. Symbol Technologies PPT 8800 handheld wireless devices with integrated barcode scanners are currently being used. Implementing a new system like barcode medication administration can present many challenges as nursing staff adapt to new work processes. Once the system was installed and the CCC staff became more familiar with the new system, these concerns did not resurface. Another issue that needed to be addressed during the implementation was the lack of barcodes on some of the unit-dose drugs being used.
Despite the implementation of the new barcode system and the changes in work processes that it necessitated, the hospital was not required to hire additional pharmacy or nursing staff. A comparison of the medication administration error rates pre- and post-implementation shows that medication administration errors were reduced by an average of 82% for the five units studied (see Figure 2). The post-implementation data was collected from the go-live month in each unit through November 30, 2004, the most recent data available at the time of this study.
The types of medication errors that occurred in these units varied and included instances of wrong dosage, missed medication, missed drug reaction, or wrong IV bag hung and were documented in the hospital's Med Event Report. The benefits of the barcode system extend beyond a decrease in medication administration errors. Currently, the hospital is committed to proceeding with the rollout to make full use of other wireless mobile barcode applications. Recent reports indicate that five years after the Institute of Medicine's landmark study, To Err Is Human: Building a Safer Health System (2000), hospitals have made little progress in implementing patient safety solutions to reduce medical errors.
In the final analysis, success of the barcode medication administration system at Beloit Memorial can be attributed to not only the use of state-of-the-art technology, but also to a carefully constructed, fully communicated work plan that included clearly identified new work processes and a thorough staff orientation and training program. So medical professionals have a lot at stake in making sure patients get the right medicine, in the right amount, at the right time. Your data includes counts of the number of patients treated each week, and the number of medication errors that occur. To get better insight into the situation, you gather more comprehensive data on a random sample of 100 medication errors, including the type of error and the time it occurred. Based on this knowledge, you and your team devise and implement process changes designed to help hospital staff give patients the proper dosage of medications and adhere strictly to the treatment times specified by their physicians. After the changes have been implemented, you gather additional data over several weeks to see whether errors have been reduced. Because you have attribute data, and since each patient could be associated with more than one medication error, the Assistant's decision tree guides you to the U Chart.
Even if you’re not a statistician, you can benefit from using statistical tools to look at your data.
With the Assistant, it's very easy to create a Pareto Chart to identify and focus your efforts on the most frequent medication errors. If big numbers impress you, consider that, according to Bradley Sokol, CEO of Fast Track Technologies (FTT), the application of radio frequency identification (RFID) and related technologies in the hospital marketplace will increase to $8.8 billion in just 4 years, in 2010. Sokol muses, "What if a person could enter a hospital with the confidence that his or her treatment would be successful, efficient, safe, and environmentally clean, with accurate and seamless billing?
While at present, fewer than 10% of hospitals surveyed have actually deployed RFID, more than 27% have started with a pilot project or are testing the technology. However, Jay Srini, vice president for emerging technologies at the University of Pittsburgh Medical Center, cautions others not to think of RFID as replacing barcodes.
Srini adds, "RFID isn't a replacement for barcode; the two technologies can coexist to create an effective solution. At Bon Secours Health System's four Richmond, Virginia, facilities, RFID was explored for patient, staff and equipment tracking. Maki says they have realized more than $1.5 million in savings on equipment rentals alone by being able to track their equipment location more accurately. The AgileTrac system from Agility, also in Richmond, works to lower the overall equipment investment at Bon Secours by providing accurate inventory management. Maki cautions, "The best approach is the business approach; determine clear business problems and find appropriate solutions. Adding comment is Ann Hendrich, RN, MSN, FAAN, vice president of clinical excellence, Ascension Healthcare, St. Working with RFID tags from Radianse of Lawrence, Massachusetts, Ascension piloted a program to track nurse movements throughout the unit.
A recurring discussion on the deployment of RFID and other technologies is often centered on the cost versus the current, non-tech way of doing the procedure.
At Texas Children's Hospital in Houston, Melita Howell, clinical information systems project manager, found that even the best of intentions can fail to produce the best results. But enough of the staff and leadership saw a future with the concept that they started again in 2003, this time with what is known as a "skunk works" approach. The multidisciplinary team, consisting of members from biomedical engineering, nursing, central distribution (CD), facilities operation, and even security and financial services, began working with Versus Technology, Traverse City, Michigan, a supplier of real-time location systems (RTLS) based on both IR and RFID.
Phase one, the pilot, comprised 200 nursing and 40 CD staff members, 300 infusion pumps, 50 beds, and 10 respiratory therapy vests in the inpatient area. Jacobi Medical Center, Bronx, New York, did a pilot test with systems integrator Siemens Business Services of Norwalk, Connecticut, and Precision Dynamics Corporation (PDC), San Fernando, California, to implement an RFID wristband system for patient identification and medication administration. The system consisted of an integrated RFID application, developed by Siemens that connects Jacobi's electronic medical records, lab systems, and billing system.


To improve diagnosis automation and the overall patient experience, Catholic Medical Center—KangNam St.
At the heart of this system is an iPAQ Pocket PC equipped with the Socket CF RFID Reader-Scan Card, a dual-function plug-in card that provides both RFID and barcode scanning capabilities.
Voice commands on the Pocket PC announce "Patient identification confirmed" or, in the case of discrepancies, "Access denied." Since the Pocket PC is connected to the hospital's wireless network, nurses know immediately about any new medication orders, order changes or cancellations.
Passing your driving test and getting the keys to your first car is a milestone in any teenager’s life and is symbolic of your progression into adult life and independence. As we should all be painfully aware, despite the fact that driving can be a lot of fun and allows you a greater amount of personal freedom, it can also be extremely dangerous. There are many startling and worrying facts about teenage driving and whilst you may be a perfectly safe and responsible driver, it makes a lot of sense to at least be wary of the dangers that you may be facing as a young driver. It is a fact that drivers who are aged between 16 and 19 are up to four times more likely to die in a car crash than a driver who is aged between 25 and 69, so those early years on the road are definitely a danger zone for teenage drivers. The first six months of your driving career are very significant, when you consider that statistically speaking, this is the period where you are most likely to have a fatal crash. America has a high mortality rate when comparing the rate of traffic deaths to some other countries. The motor vehicle death rate for male drivers and passengers aged 16 to 19 was almost two times that of their female counterparts. Teens driving with teen passengers: The presence of teen passengers increases the crash risk of unsupervised teen drivers. Putting your own life at risk behind the wheel is bad enough, but the statistics involving teen drivers and their passengers don’t make good reading either. Teenage drivers contribute to about 60% of all teen passenger deaths and nearly 20% of all deaths on the roads in the United States, irrespective of the passenger’s age. When you consider the level of general awareness surrounding the use of seatbelts and how they improve your safety, it is quite a revelation to discover that over 50% of teenagers killed in car crashes were found not to be wearing their seat belts. Distracted driving is a major source of accidents on our roads everywhere and teenage driver deaths and accidents involve a number of specific distractions.
It is probably not a great surprise that the summer months are considered to be the most deadly times to be driving a car when you are a teenager. May, June, July and August are peak months for teenage road accidents and fatalities, with the 1st of January singled out as a day that is an especially treacherous one for teen drivers. Weekends account for over 50% of all teenage car deaths and just over 40% of all fatalities involving drivers less than 21 years of age, occur between the hours of 9pm and 6am. Having seen the statistics and the dangers facing all teenager drivers, wherever you happen to be in the world, there are definitely some things that you can do to improve your odds of survival and become a better driver into the bargain. Try to find a car that has a good safety record and if you can get a slightly bigger or heavier car that is suitable, this may help to improve your odds of surviving a crash.
If you are a parent of a teenage driver, there are definitely some things that you can do in order to keep your teenage son or daughter away from danger on the road as best as possible. You may not always be popular as a parent when you try to provide driving advice to your teenage offspring but parents do tend to have more influence on driver education than is often credited to them.
Young drivers often overestimate their level of driving skill and also tend to underestimate their level of vulnerability, so you can help them in these areas with some parental guidance.
Another key bit of advice that parents can impart to their teenage son or daughter, is to restrict the number of passengers they have in the car.
Adjust the headrest on your seat to a height behind your head, not your neck, as this will help to minimize whiplash in the event of an accident. Safety experts suggest you hold the steering wheel at the 3 and 9 o’clock position on the wheel, or even lower at 4 and 8 o’clock. Always try to drive with consideration for other road users and don’t make assumptions about what other drivers are going to do. Not everyone is going to be courteous and compliant about sharing the road with you so watch out for aggressive drivers and try to keep out of their way, no matter how much they annoy you.
Do not pull out in front of anyone or swerve into another lane without plenty of notice, and avoid tailgating, as driving too close to another driver is never going to be a good idea. Hopefully, the crash statistics will have given you a clear idea of the potential dangers that you are facing when you get behind the wheel. Texting while driving is now a major issue and nearly 50% of teenage drivers who were recently surveyed admitted to texting while driving.
Drinking alcohol and driving are a complete no-go area and you should never be tempted to drink and drive. Distractions are all around us and even simple things like changing the radio station or turning round to a friend for a brief second is enough to cause an accident. Keywords: medication errors, medication errors nursing, medication errors canada, medication errors cno, medication errors in nursing canada, medication errors canada statistics, medication errors in pharmacy, medication errors in nursing homes, medication errors statistics 2015, medication errors in nursing ppt, medication errors may be common after hospital discharge . Care was taken to exclude stays and visits associated with illicit drug use or with evidence of intentional harm, self-inflicted or otherwise. Only 18.5 percent of treat-and-release ED visits with a drug-related adverse outcome were for elderly patients. Psychotropics were another common drug-related adverse outcome for all age groups younger than 65.
For 8,400 inpatient cases and 14,600 ED cases with neuropathy or dermatitis drug-related adverse outcome codes, the ICD-9-CM codes do not identify whether the origin of the adverse outcome was poisoning or adverse effects due to drugs administered properly. Leading this category were corticosteroids, such as prednisone, the cause of 13.2 percent of all inpatient drug-related adverse outcomes (283,700 events).
This is based on a total of 2,147,700 drug-related adverse outcome events in 1,874,800 inpatient stays, and 997,100 events in 838,000 ED visits with at least one drug-related adverse outcome recorded. This category includes drugs for relieving pain and reducing fever, such as acetaminophen (an aromatic analgesic, such as Tylenol), non-steroidal anti-inflammatory drugs (including salicylates, such as aspirin), opiates including methadone, and antirheumatics such as indomethacin. HCUP data include OB-GYN, ENT, orthopedic, cancer, pediatric, public, and academic medical hospitals. For each hospital, a hospital-wide cost-to-charge ratio is used because detailed charges are not available across all HCUP States. Sponsored by the Agency for Healthcare Research and Quality (AHRQ), HCUP includes the largest all-payer encounter-level collection of longitudinal health care data (inpatient, ambulatory surgery, and emergency department) in the United States, beginning in 1988. The NEDS was constructed using records from both the HCUP State Emergency Department Databases (SEDD) and the State Inpatient Databases (SID). We also invite you to tell us how you are using this Statistical Brief and other HCUP data and tools, and to share suggestions on how HCUP products might be enhanced to further meet your needs.
Clarifying adverse drug events: A clinician's guide to terminology, documentation, and reporting. Barcode technology is an especially promising approach in the effort to reduce medical errors. While studies conducted in VA hospitals in the early 1990s showed that the use of barcodes reduced medication administration error rates by up to 86% (Meadows, 2003), community hospitals are just beginning to use this technology to improve patient safety. The hospital's Board of Trustees, composed of 10 medical professionals and community leaders, has committed the hospital to a primary goal of providing high-quality healthcare services for all patients.
This pilot resulted in a 67% decrease in medication administration errors within the first four months of operation. This interval was selected to ensure that the nursing staff was familiar with the barcode system and had completed its learning curve of the new system. By January of the following year, the hospital approved the further deployment of barcoding for medication administration to include four additional inpatient units due to the FCC's early success.
The training was conducted by "super users," FCC nurses experienced and proficient with the system. Daily meetings were held with the nursing staff during the first two weeks following implementation to troubleshoot any problems and to provide rapid response to questions about the system. A training design similar to that used in the SCC was implemented using super users as well as on-site support from the vendor.
This can be attributed to several factors including careful, advance planning, continual communication with nursing staff both prior to and following implementation, a flexible training schedule to accommodate all shifts, and the fact that the barcode utilization process had been carefully integrated into the medication administration workflow processes.
These factors were publicized both formally by hospital management and, perhaps of equal importance, were communicated informally by staff nurses throughout the hospital. A wireless network (802.11b wireless LAN) with 128 bit encryption for data security was installed with access points and connecting sensors in all patient rooms. Initial concerns were expressed regarding the need to administer some drugs on an emergency basis or administering drugs to newborns within one hour after birth to comply with state law, and the new system changed work processes in a manner that they felt could potentially compromise patient care.
Further, several staff were personally involved in situations where the system stopped a medication error from occurring, successfully demonstrating that their patient's safety had been enhanced through the use of the wireless, barcode medication administration system. The barcodes had not been affixed to some unit dose medications, as required, due to a temporary staffing shortage in the pharmacy. The reported post-implementation time periods ranged from 4 to 15 months experience, depending on the unit.
The error rate in this unit was high in comparison to the other units because the MCC is the largest unit with a total of 64 licensed beds. During the initial implementation, all patients were briefed about the new medication administration system and why it was being installed. This case study has documented the experiences of one community hospital, committed to a culture of patient safety, which has demonstrated the success of a wireless mobile barcode system. These include improved staff and patient satisfaction, and generation of positive press and public relations with the local community. Currently, he serves as president of The Work Group, Inc., a healthcare consulting company delivering strategic marketing, sales, and public relations services to healthcare IT companies and provider organizations.
Your data set includes counts of the number of patients treated each week, and the number of medication errors that occurred. Of that, $4.0 billion will be in the now nascent technology of RFID alone, with the rest associated with connectivity and infrastructure.
A robust wireless network with proper middleware to support the network architecture is critical to achieving the underlying benefits of RFID and barcode projects.
Jerrold Maki, chief of network operations at Bon Secours recalls, "We felt the tracking of high-value equipment was a good starting point.
The system has enabled Bon Secours to move its sterile processing center off-site and automate the case cart and tray tracking functions. Bon Secours found that employees spent as much as one third of their time searching for equipment, patients were taking equipment, such as knee exercisers, from their rooms and therapy sessions, and even ambulances were driving off with the hospital's infusion pumps.
In this case, we were able to quantify benefits and savings, establish a well-defined future state, get all out stakeholders involved and develop an optimal solution. When it comes to personnel staff tracking, many fear the shadow of 'Big Brother' and may question the motivation. In 2001 they installed both IR (infrared) and RF (radio frequency) networks in parts of the facility. The results showed an improvement in quality, end user acceptance, capital savings from not losing equipment, reduced rental costs, and greater efficiency in central distribution, facilities, and biomedical areas. They report the RFID system improved patient safety and care, increased productivity, and helped cut costs.
Jacobi's existing computerized physician order entry system allowed for a seamless RFID implementation.
Mary's Hospital in Seoul, South Korea, is deploying the Visibility System from AeroScout, San Mateo, California.


Clair Hospital of Pittsburgh, a 331-bed independent community hospital, is working to reduce medication errors with an innovative Five Rights Medication Verification System that equips nurses with an RFID reader so they can confirm they are correctly administering pills, IVs or other medications to patients in their care.
Running on the Pocket PC is VeriScan software from Sculptor Developmental Technologies, a subsidiary of the hospital. Clair implemented VeriScan, only 1 in every 8 medication errors was identified, with only 600 errors reported annually. This way you can give yourself a better chance of not contributing to some alarming statistics. This is particularly significant when you consider that alcohol plays a key part in many road crashes around the globe, and that drinking laws in the States are more punitive than many other places. It may be tempting to get behind the wheel of a more powerful car but the more power to the pedal the greater your chance of a crash or a speeding ticket. Try not to rely solely on driver education, which often provides the basics and mechanics needed to drive a vehicle, yet does not focus so much on actual safer driving skills, which are gained through experience.
When you consider the high level of crashes that involve teenage drivers between 9pm and 6am, it makes a lot of sense to try and impose some sort of curfew for their own safety.
Teenage passengers are a major distraction and can also sometimes lead to the driver being encouraged to take risks, so try to advise a restriction on passengers, especially in the early months of their driving career.
Going too fast gives you less time to stop or react and speeding is one of the main causes of teenage accidents. At certain times of the day, light reflecting off your dirty windshield can momentarily blind you, and it only takes a split second to crash. If you are involved in an accident and the airbags are deployed, you will be safer with your hands not flying into your face from the impact of the airbags. It is not worth it and your intended message can often wait for a safer time when the car engine is off. Drugs are also a major issue and your chances of being involved in a crash rise dramatically, so do not get behind the wheel if you are under the influence in any way at all.
Eliminating distractions is vital to increasing your odds of survival and if you can limit your passengers to parents or instructors for the first 12 months of driving, you will be greatly improving your odds of staying safe on the road. Excluded are long-term care, rehabilitation, psychiatric, and alcoholism and chemical dependency hospitals. Hospital charges reflect the amount the hospital charged for the entire hospital stay and does not include professional (physician) fees.
The NIS is a sample of hospitals and includes all patients from each hospital, regardless of payer. While barcode technology has been used for quite some time in many hospital applications, it has only recently been used to address patient safety. Recent estimates indicate that only 2% to 6% of hospitals are currently using barcodes to reduce medication administration errors (Center for Business Innovation, 2004).
With the pilot successfully completed, the hospital expanded implementation of the barcode system to four additional inpatient units.
While the hospital established a Patient Safety Committee in 2001, the barcoding initiative originated from a recommendation by the director of pharmacy, who felt that additional checks and safeguards at the point of medication administration would be valuable in reducing medical errors. Implementation of the original pilot and subsequent rollout to the other inpatient units occurred over a 15-month period from July 2003 through October 2004. In addition, a dedicated notebook was placed in the SCC where nurses could write comments, provide feedback, and ask questions about the system. Eight super users were utilized in the training and were present on the units during the implementation. A dedicated server (IBM xSeries 345 Server, Pentium 4 Xeon 2.8 GHz, 4 GB RAM) was connected to the wireless network. The commitment to safe patient care was reinforced by management as the key treatment goal that would take precedence over the use of the barcode system in emergency situations. This data includes the first month that the system was installed, when staff learning curves were steepest and errors were most prone to occur. The nursing staff felt that the hospital was truly committed to improve quality of care by investing in state-of-the-art technology to improve patient safety. Nurses reported a genuine sense of appreciation from patients and their families that the hospital was committed to patient safety, as demonstrated by use of the new system.
This public relations exposure helped to build on the existing positive relations between the hospital and the local community and resulted in several stories in the local press.
It is expected that wireless barcoding will be implemented for respiratory therapy by the first quarter, 2005. This resulted in a reduction of medication administration errors, in the inpatient units observed, by an average of 82% after being installed for a relatively brief period of time (5 to 15 months). Over the past 18 years, he has been involved in healthcare information technology consulting, assisting HIT companies and providers to be more successful.
The evolution of bar coding and patient safety: Update 2004, The third annual summit on patient safety and information technology (panel discussion). Demonstrating benefits in a community hospital through the use of wireless, mobile barcode technology in medication administration: A case study. A key finding was that improvement to patient safety was cited as the top benefit from RFID. Vincent's Hospital, Birmingham, Alabama, revealed that patient throughput suffered because staff members didn't know what beds were available and didn't know where patients were. Surgichip is an RFID label that is adhered to the patient prior to surgery to identify the patient, surgery, and location of surgery. Upon admission to the hospital, surgical patients are issued a CheckSite ID bracelet equipped with an active microchip designed to ensure that pre-operative surgical site marking is not overlooked. Perhaps the biggest benefit was the buy-in of facility executives who now saw the future potential of the system. The Five Rights system aims to ensure that the right patient receives the right medication and dose via the right form of administration at the right time. When it's time to administer medication, nurses first read the RFID tag in their badge to log in. Where possible, offer them a lift or give funds for a taxi ride on special occasions and celebrations. Please note, a discharge of this nature will be included in the NIS if it occurred in a community hospital. It is drawn from a sampling frame that contains hospitals comprising about 95 percent of all discharges in the United States. The NEDS was created to enable analyses of ED utilization patterns and support public health professionals, administrators, policymakers, and clinicians in their decision-making regarding this critical source of care. The use of barcode technology at the patient's bedside has shown impressive gains in reducing medication administration errors, which may account for as many as 7,000 deaths per year in U.S. In addition, training staff from the vendor were on site to assist with the 4-hour training sessions, in which all 12 unit nurses were trained.
Going forward, new staff will be trained exclusively by the super users, eliminating the need for ongoing training by the vendor and reducing costs. However, this does suggest that the hospital pharmacy must be intimately involved in the planning and implementation of any new barcode utilization system for medication administration. If the first month of implementation is not included, to allow time for learning the new system, the medication administration error rate is decreased even further to an average of 93%. Other barcode applications will also be installed at the hospital in accordance with the implementation schedule shown in Figure 3.
Recently, he has focused on new technologies for patient safety including barcoding, RFID, wireless technology, and the Internet.
Once site marking has been completed in the pre-op area, a green deactivation label is peeled from the CheckSite marker and is placed over the microchip on the patient's wristband. Unfortunately, as Howell explains, "Inpatient staff tracking didn't work very well because there was no transaction data available via the nurse call system. Daniel Morreale, the hospital group's chief information officer at the time of the Jacobi implementation, states, "The RFID trial saved 1 hour per nurse per shift. The Wi-Fi tags utilize standard Cisco Wireless access points to transmit location information used for automatic recognition of patients, wait and process times, patient history, exams that are needed, and other patient processes. They then scan the barcode on the medication package and the RFID tag in a patient's wristband. The vast size of the NIS allows the study of topics at both the national and regional levels for specific subgroups of patients. The alignment of the board and senior hospital management including the CEO, the vice president of nursing, and department heads created a positive atmosphere and communicated a clear, unified message from senior management that led to the adoption and funding of the new barcode system. In addition, daily management meetings were conducted with the director of pharmacy, director of IT, and the nurse unit manager to ensure that the system was working properly.
The pharmacy department needs to consider the additional time that will be required to affix medications with barcodes. Showing the hospital's advanced use of technology was cited as a positive factor in recruiting new staff in a competitive employment environment.
He also assists companies to launch new HIT products and establish vertical healthcare technology businesses.
Vincent's settled on using an enterprise-wide patient visibility system from Awarix, also in Birmingham. If the application is rolled out network wide, it could potentially save $1 million a year, but more importantly this creates 2 to 3 hours during every nursing shift for additional patient contact and care." The pilot was so successful that staff did not want to give back the equipment after the 2-month trial. In addition, AeroScout's MobileView software provides easy access to patient location information along with time statistics, enabling improved business processes. The data is sent wirelessly to the main clinical database and compared with the doctor's latest orders. The implementation proceeded smoothly, and hospital management reported that they were extremely satisfied with the system. He has conducted ROI and best practices studies to demonstrate financial and clinical benefits from HIT. The system provides a 360-degree view of the patient's status in real time, using RFID tags from Radianse. All information is provided in real-time for maximum patient safety and throughput efficiency. Yet alarmingly, they account for some 30% of the total costs of motor vehicle injuries amongst males and 28% of injuries involving females. Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Costs and Utilization Project, Nationwide Inpatient Sample and Nationwide Emergency Department Sample, 2008.
Over the past year, he has consulted with several national and international healthcare technology conferences and has served as a co-chairman, presenter, and panel moderator.
The information is displayed visually on electronic patient care communication "whiteboards." These electronic whiteboards contain a graphic representation of the hospital's floor plan, making it easy for clinicians and other users to figure out what is going on with patients simply by glancing at the board. Information is taken from existing clinical systems and from location systems to create a synthesized single view, increasing awareness of patient care status in real time across the enterprise.



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