Yen Ying-Ting, Chang Shih-Fen, Tsai Kuei-Lan, Chen Chen-Ju, Liu Li-Ching, Fang Yu-Chiung
Student, Department of Healthcare Administration, I-Shou University, Taiwan, ROC.
BSN, RN, Department of Nursing, National Cheng Kung University, Taiwan, ROC.
Hu Li Za Zhi. 2015 Dec;62(6):90-7. doi: 10.6224/JN62.6.90.
BACKGROUND & PROBLEM: Fully implementing the barcode medication administration system has been shown to help improve medication safety. We have promoted the barcode medication administration system in our hospital since May of 2014. However, the rate of implementation reached only 32% initially. We identified the major obstacles to fully implementing the barcode system as: (1) the barcodes on patients' wristbands were smudged or broken; (2) the barcodes on transparent drug bags and infusion bags were difficult to scan; (3) nurses were not familiar with the scanner and lacked the skills necessary to conduct barcode scans; (4) poor wireless Internet access inhibited effective barcode scanning; and (5) the beep sound generated during barcode scanning disturbed patients' sleep. The present project was conducted to improve the implementation by nursing staff of the barcode medication administration system.
The purpose was to increase the rate of implementation from 32% to 80%.
The key members of the project were nurses, computer technicians, and pharmacists. The following procedures were conducted: (1) check the integrity of the wrist band and renew this band periodically; (2) print the barcode against a white background on transparent drug transfusion bags; (3) demonstration the skills of barcode scanning to nurses and inspect the function of scanners periodically; (4) increase the number of access points for the wireless network; (5) demonstrate the procedure for adjusting the sound volume on the scanner; and (6) provide rewards / incentives for using the barcode medication administration system.
The rate of implementation of the barcode medication administration system increased from 32% to 85.2%.
This project significantly increased the use of the barcode medication administration system by our nursing staff. The procedures used in this project may be referenced by administrators at other hospitals with low rates of barcode medication administration system usage.
全面实施条形码给药系统已被证明有助于提高用药安全性。自2014年5月起，我们医院就开始推广条形码给药系统。然而，最初的实施率仅达到32%。我们确定全面实施条形码系统的主要障碍为：（1）患者腕带上的条形码模糊或破损；（2）透明药袋和输液袋上的条形码难以扫描；（3）护士不熟悉扫描仪，缺乏进行条形码扫描所需的技能；（4）无线互联网接入不佳阻碍了有效的条形码扫描；（5）条形码扫描过程中产生的蜂鸣声干扰了患者睡眠。本项目旨在提高护理人员对条形码给药系统的实施率。
目的是将实施率从32%提高到80%。
该项目的关键成员包括护士、计算机技术人员和药剂师。采取了以下措施：（1）检查腕带的完整性并定期更换；（2）在透明输液袋的白色背景上打印条形码；（3）向护士演示条形码扫描技能并定期检查扫描仪功能；（4）增加无线网络接入点数量；（5）演示调整扫描仪音量的操作步骤；（6）对使用条形码给药系统的人员给予奖励/激励。
条形码给药系统的实施率从32%提高到了85.2%。
本项目显著提高了我院护理人员对条形码给药系统的使用率。本项目所采用的措施可供其他条形码给药系统使用率较低的医院管理人员参考。
