退伍军人健康管理局中条形码药物管理的十五项最佳实践建议。
Fifteen best practice recommendations for bar-code medication administration in the Veterans Health Administration.
作者信息
Patterson Emily S, Rogers Michelle L, Render Marta L
机构信息
Getting at Patient Safety Center, Veterans Affairs Medical Center, Cincinnati, USA.
出版信息
Jt Comm J Qual Saf. 2004 Jul;30(7):355-65. doi: 10.1016/s1549-3741(04)30041-9.
BACKGROUND
Since 2000, the Veterans Health Administration (VHA) has pioneered the development and deployment of a bar-code medication administration (BCMA) system. Based on VHA experience, 15 "best practices" for BCMA implementation, integration, and maintenance are recommended.
METHODS
Data were collected on potential barriers to the effectiveness of BCMA to improve patient safety by direct observation of medication administration, simulated BCMA use in a laboratory setting, a survey of nursing informatics specialists regarding policies and procedures, and 30 unstructured interviews with diverse stakeholders.
RECOMMENDATIONS
Fifteen practices were proposed, categorized by implementation and continuous improvement, training, troubleshooting, contingency planning, equipment maintenance, medication administration, and maintenance of paper patient wristbands. For example, Recommendation 15 ("Periodic replacement of wristbands") advises weekly bar-coded wristband replacement in long term care settings to improve the scanning reliability.
DISCUSSION
Lessons learned about best practices to address challenges may offer insight to others considering implementation of bar-code technology.
背景
自2000年以来，退伍军人健康管理局（VHA）率先开发并部署了条形码给药系统（BCMA）。基于VHA的经验，推荐了15条BCMA实施、整合及维护的“最佳实践”。
方法
通过直接观察给药过程、在实验室环境中模拟使用BCMA、对护理信息学专家进行有关政策和程序的调查以及对不同利益相关者进行30次非结构化访谈，收集了关于BCMA提高患者安全有效性的潜在障碍的数据。
建议
提出了15条实践，按实施与持续改进、培训、故障排除、应急计划、设备维护、给药以及纸质患者腕带维护进行分类。例如，建议15（“定期更换腕带”）建议在长期护理环境中每周更换条形码腕带，以提高扫描可靠性。
讨论
关于应对挑战的最佳实践所吸取的经验教训可能会为其他考虑实施条形码技术的人提供见解。
Zotero 插件