Medication Administration Tech
Policy and Procedure Change Bar Code Reader System for Medication Administration
Though the Utah State Hospital has an integrated electronic prescription system there is no evidence that the institution utilizes bar code reading technology either on the unit or in the pharmacy itself. This is evidenced by the lack of such information in the institutions policies and procedures manual, and specifically in their policies and procedures associated with controlled drugs, which is an area where inventory controls, accountability and patient safety are particularly important. Such a system would serve the patient population well, helping to ensure that fewer errors were made and more observation of possible conflicts between medications as well as other issues could be more closely monitored. This work will describe in detail from the literature both the types of systems available, their use and the research effects associated with them to aide in the development of a policy and procedure change recommendation for Utah State Hospital.
There have been countless advances in the technology associated with patient care, across the health care industry. With those advances in technology none are probably more patient centered and effective than the advances in information technology associated with electronic patient records and other integrated institutional systems ("ASHP statement on bar-code verification…," 2011). The advances have been so profound that some of them are even being mandated and supported by federal legislation. Among those advances are many technologies that attempt to increase checks and balances in the delivery of patient care and most importantly in the delivery of medications to patients (Agrawal, 2009).
The Institute of Medicine (1999) suggested that preventable adverse drug events or harmful medication errors occur in 1%-10% of hospital admissions. Information technology such as bar codes can reduce errors throughout the medication process (Poon et al., 2006). Point-of-care administration of medications...
One proven solution to decrease medication errors is use of medication software such as CPOE. It has significantly reduced errors in prescribing, transcription, and dispensing of medications (Hidle). It also has the potential to decrease errors in administration due to unfamiliarity with a drug, drugs with similar names, or incorrect dose calculations since the software performs the calculations. So, why are these systems not used more often in the administration
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