Report of bedside scanning meeting
A high level meeting on reducing medication error in hospitals: Making bedside scanning a systematic reality across Europe. Monday 14th October 2013. UZ Leuven
An industry perspective on medicines barcoding and bedside
14 oct. 2013 barcoding and bedside scanning. • Chris Dierickx. • Manager Business Development - Pfizer Global Supply – Puurs ...
Circuit du médicament
Forum GS1 – Efficience dans le domaine de la santé - Bedside scanning. Prof. Pascal BONNABRY Scanning au lit du patient. Berne 17 septem bre 2008.
7/18/2016 1 BEDSIDE TELEMETRY MONITOR SCANNING
18 juil. 2016 BEDSIDE TELEMETRY. MONITOR SCANNING. STEVEN MCPHERSON BSN
Handheld high-resolution medical imaging device with potential for
25 mar. 2020 device with potential for bedside scanning ... who do not specialise in imaging or pathology allowing them to scan patients using.
Bedside scanning de toekomst?
9 mar. 2014 Bedside scanning de toekomst? Bedside Scanning een verhaal. Niet over barcodes … … maar over patiëntveiligheid. Page ...
Emergency Department Ultrasound Scanning for Abdominal Aortic
of abdominal aortic aneurysms (AAAs) by performing bedside ultrasound scanning and to assess the potential impact of ultrasound scanning on clinical
Limited Use of Bedside Ultrasound by Midwives in Third Trimester
24 jui. 2019 (2010). Implications of ultrasound scanning for midwives. British Journal of Midwifery. 18(7). 2. American College of Nurse ...
THE IMPACT OF A BEDSIDE MEDICATION SCANNING DEVICE
THE IMPACT OF A BEDSIDE MEDICATION. SCANNING DEVICE ON ADMINISTRATION ERRORS. IN THE HOSPITAL SETTING: A PROSPECTIVE. OBSERVATIONAL STUDY.
EAHP Position Paper on eHealth and mHealth
widespread takeup of bedside scanning in European hospitals thus improving patient safety;. • appropriate regulatory oversight mechanisms for mHealth
7/18/2016
1BEDSIDE TELEMETRY
MONITOR SCANNING
STEVEN MCPHERSON, BSN, RN
Lessons
LearnedSuccess
StorySETTING
23BedCombinedICU/PCU15Bed
SurgicalSpecialtyUnit
24BedMedicalSpecialtyUnit13Bed
ObservationUnit
Centralized
Monitoring
Station
Cardiac
Monitors
Cardiac
Monitors
Prefense
(VitalSigns)Monitors
Prefense
(VitalSigns)Monitors
Prefense
(VitalSigns)Monitors
PROBLEM
FailureModeandEffects
Analysis
Monitors
added/removed without communicationMonitornever
calledinto centralstationWrongmonitor
onwrong patient7/18/2016
2 IDEABarcode
scanningBedside
verificationInventory
managementASSIGNING
MONITORS
Physician
order generates notificationMonitor
scannedinto electronic intervention inEMROnespecific
monitorasset number assignedto eachpatientfor theirentirestayASSIGNINGMONITORS
ASSIGNING
MONITORS
7/18/2016
3MONITOR
BROUGHTTO
BEDSIDE
CAPTURINGINFORMATION
LogisticalDataRepository
Scanning
Activity
Monitor
Channel/
Asset#
Demographics
Cardiac
Rhythm
Current
Orders
Inventory/
Handoff
Reports
Patient
REPORTS
Functions
•Handoff •Inventory •DiscontinuationReadiness
•OrderManagement
Compliance
•DecreaseMonitoringErrors
•Acuity/CensusTrends
7/18/2016
4DOWNSTREAMEFFECTS
ReportsGrantFacilityWideViewof
MonitoredPatients
PromoteChargeNurseAuditingand
ConversationswithPrimaryNurses
MonitorsDiscontinued
Faster/PatientsDowngraded
MoreTimelyReduceStaffTime
andEfforts 2013)DecreaseDivert
HoursandEDHolds
100%Scanning
ComplianceAt
ControlCenter
100%Immediateand
Routine
Bedside
Scanning
ChargeNurse
andLeadershipAuditingfor
Compliance
IdealFutureState
BreakdownsIn
Process
StaffResponsibilitiesDocumentation
Compliance
LackofAuditing
ScanningVersus
ManualEntry
Documentation
Accuracyand
Compliance
MoreStrict
Documentation
ParametersPatientSafety
Workarounds
7/18/2016
5WORKAROUNDS
Amixedmethodstudy
performedata470ͲbedMidwesternacademic
tertiaryhospitalidentified15workaroundtypes
performedbynurses duringbarcode medication administration.These workaroundsrelated directlytoonesformed aroundtelemetrymonitor scanning(Koppel,Wetterneck,Telles,&
Karsh,2008)
Omission
ofProcess StepsUnauthorized
ProcessSteps
StepsPerformed
OutofSequence
SCANNINGCOMPLIANCE
Original
Captured
QueryEntered
QueryVerified
Scanned
Scanneras
anInputDevice
Requested
ValueApparent
toEndͲUserBedsideNot
Necessaryto
Complete
RequiredFields
GETTINGCREATIVE
BACKEDINTOACORNER
7/18/2016
6BARRIERSTOEFFECTIVE
PROCESSES
LowStaff
Engagement
intheProcess andit'sEffect onthePatientPrimaryNursesNotScanning
InitiallyandEveryShift
ChargeNursesNot
RoundingtoAudit
MonitorTechniciansNot
FollowingProperProcedure
Decreased
PatientSafety
relatedtoNonͲ
Compliance
FalseSenseofSecurity
HOWISTHISFIXED?
RealͲTime
Auditingand
Rounding
FormalNewHire
TrainingCaseStudies
PostedIdeal
Workflows
PERCEPTION
Piscotty,Lawrence,&Targosz,2013).
Beliefthat
theprocess increases patientsafetyCompliancewith
processstepsPositiveOutcomesrelatedto
safety,reducedcosts,andpatient satisfactionLessons
LearnedSuccess
Story7/18/2016
7REFERENCES
barcodemedicationadministrationsystems:Theiroccurrences,causes,andthreats to 535quotesdbs_dbs26.pdfusesText_32
[PDF] Bedürfnisse
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[PDF] Beech 1900D - Méditerranée Evasan Organisation
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[PDF] Beechcraft 1900D VIP - AB Corporate Aviation - Compagnies Aériennes
[PDF] Beechcraft KING AIR B200 - Anciens Et Réunions
[PDF] BEEES (Behaviour, Ecology, Environment and Evolution Seminar)
[PDF] Beef Bar/BERLIN