Using bar-code technology and medication observation methodology for safer medication administration
作者： Richard D. Paoletti , Tina M. Suess , Michael G. Lesko , Alfred A. Feroli , James A. Kennel
DOI: 10.2146/AJHP060140
关键词:
摘要: Purpose. The implementation of a multidisciplinary approach to systematically decrease medication errors through the use observation methodology and deployment electronic administration records (EMARs) bar-coded-medication (BCMA) is described. Summary. For consistent reliable data collection, direct-observation technique was used. measurement using process occurred in two phases—preimplementation postimplementation. Three inpatient nursing units participated. control group 20-bed cardiac telemetry unit. Intervention 1 also 2 36-bed medical–surgical During first phase study, all three study groups participated evaluating associated with manual five-day record (MAR). A total 188 were reported. pharmacy, nursing, information services departments collaborated on design EMAR BCMA systems. systems implemented one unit August 2003, full by July 2004. second continued MAR without change process. measured evaluate technology. accuracy rate before 86.5%; after BCMA, rose 97%. Conclusion. used monitor 54% reduction observed following multidisciplinary, collaborative safety.
oup.com
ajhp.org参考文章(8)
Lucian L Leape, David W Bates, David J Cullen, Jeffrey Cooper, Harold J Demonaco, Theresa Gallivan, Robert Hallisey, Jeanette Ives, Nan Laird, Glenn Laffel, Roberta Nemeskal, Laura A Petersen, Kathy Porter, Deborah Servi, Brian F Shea, Stephen D Small, Bobbie J Sweitzer, B Taylor Thompson, Martha Vander Vliet, David Bates, Patricia Hojnowski-Diaz, Stephen Petrycki, Michael Cotugno, Heather Patterson, Mairead Hickey, Sharon Kleefield, Ellen Kinneally, Margaret Dempsey Clapp, J Richard Hackman, Amy Edmondson, Systems Analysis of Adverse Drug Events JAMA. ,vol. 274, pp. 35- 43 ,(1995) , 10.1001/JAMA.1995.03530010049034
David W Bates, David J Cullen, Nan Laird, Laura A Petersen, Stephen D Small, Deborah Servi, Glenn Laffel, Bobbie J Sweitzer, Brian F Shea, Robert Hallisey, Martha Vander Vliet, Roberta Nemeskal, Lucian L Leape, David Bates, Patricia Hojnowski-Diaz, Stephen Petrycki, Michael Cotugno, Heather Patterson, Mairead Hickey, Sharon Kleefield, Jeffrey Cooper, Ellen Kinneally, Harold J Demonaco, Margaret Dempsey Clapp, Theresa Gallivan, Jeanette Ives, Kathy Porter, B Taylor Thompson, J Richard Hackman, Amy Edmondson, Incidence of Adverse Drug Events and Potential Adverse Drug Events: Implications for Prevention JAMA. ,vol. 274, pp. 29- 34 ,(1995) , 10.1001/JAMA.1995.03530010043033
Elizabeth A. Flynn, Kenneth N. Barker, Ginette A. Pepper, David W. Bates, Robert L. Mikeal, Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities American Journal of Health-system Pharmacy. ,vol. 59, pp. 436- 446 ,(2002) , 10.1093/AJHP/59.5.436
To Err Is Human Building a Safer Health System National Academies Press (US). ,(2000) , 10.17226/9728
Henri R. Manasse, Medication use in an imperfect world: Drug misadventuring as an issue of public policy, Part 1 American Journal of Health-system Pharmacy. ,vol. 46, pp. 929- 944 ,(1989) , 10.1093/AJHP/46.5.929
Ginette A. Pepper, Errors in drug administration by nurses American Journal of Health-system Pharmacy. ,vol. 52, pp. 390- 395 ,(1995) , 10.1093/AJHP/52.4.390
Weber Jc, Griffin Jp, Voluntary systems of adverse reaction reporting--Part I. Adverse drug reactions and acute poisoning reviews. ,vol. 4, pp. 213- 230 ,(1985)
Craig A. Pedersen, Philip J. Schneider, Douglas J. Scheckelhoff, ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2005 American Journal of Health-system Pharmacy. ,vol. 63, pp. 327- 345 ,(2006) , 10.2146/AJHP050538