Early Cynde, Riha Chris, Martin Jennifer, Lowdon Karen W, Harvey Ellen M
Nursing Administration, Carilion Roanoke Memorial Hospital, 1906 Belleview Avenue, Roanoke, VA 24014, USA.
Comput Inform Nurs. 2011 Mar;29(3):157-64, quiz 165-6. doi: 10.1097/NCN.0b013e3181fc416d.
This is a review of lessons learned in the postimplementation evaluation of a bar-code medication administration technology implemented at a major tertiary-care hospital in 2001. In 2006, with a bar-code medication administration scan compliance rate of 82%, a near-miss sentinel event prompted review of this technology as part of an institutional recommitment to a "culture of safety." Multifaceted problems with bar-code medication administration created an environment of circumventing safeguards as demonstrated by an increase in manual overrides to ensure timely medication administration. A multiprofessional team composed of nursing, pharmacy, human resources, quality, and technical services formalized. Each step in the bar-code medication administration process was reviewed. Technology, process, and educational solutions were identified and implemented systematically. Overall compliance with bar-code medication administration rose from 82% to 97%, which resulted in a calculated cost avoidance of more than $2.8 million during this time frame of the project.
这是一篇关于2001年在一家大型三级护理医院实施的条形码给药技术实施后评估中所吸取教训的综述。2006年，条形码给药扫描合规率为82%，一次险些发生的哨兵事件促使对该技术进行审查，作为机构对“安全文化”重新承诺的一部分。条形码给药存在多方面问题，导致规避安全保障措施的情况增多，如手动 override 增加以确保及时给药。一个由护理、药学、人力资源、质量和技术服务组成的多专业团队正式成立。对条形码给药过程的每一步进行了审查。系统地确定并实施了技术、流程和教育解决方案。条形码给药的总体合规率从82%提高到了97%，在此项目期间计算得出避免了超过280万美元的成本。
