8/6/2019 Bcma Final

1/23

BAR-CODED MEDICATION

ADMINISTRATION

Presented by-

Anjali KasyapJyotsna Khatri

Preeti Upadhyay

Dr. Vandana Gulati

8/6/2019 Bcma Final

2/23

Removes uncertainty

Alerts for mistakes

Fast and Easy

(Yorktown, 2005)

8/6/2019 Bcma Final

3/23

WHAT IS BCMA?

` Electronic softwareapplication

` Combines barcode

technologies with real-timeEthernet local area network(LAN) that connects with acentralized computer

` First developed 1995 VAMedical Center Topeka,Kansas

` Introduced nationwide in

2000

(Wideman,Whittler, & Anderson, n.d.)

8/6/2019 Bcma Final

4/23

BCMA BASIC STEPS REVIEW

8/6/2019 Bcma Final

5/23

8/6/2019 Bcma Final

6/23

BCMAHARDWARE MODEL(CONT..)

Handheld barcode scanning device

Wireless mobile computer and cart

Patient Identification Bracelet

Keyboard

Nursing Identification Barcode Badge

Optional palm PDA scanners can be utilized

8/6/2019 Bcma Final

7/23

BCMAHARDWARE: A CLOSER LOOK

Barcode Scanning Device

Light weight and

comfortable hand held

design

Built in decoder

Emits high intensity redaiming beam

Trigger button(Wideman,Whittler, & Anderson , n.d.)

8/6/2019 Bcma Final

8/23

8/6/2019 Bcma Final

9/23

BCMA SOFTWARE

BMCA Software

Again this system utilizes barcode technologies incombination with real-time Ethernet local area network

(LAN) connectivity with a centralized computer

(Wideman,Whittler, &

Anderson, n.d., pg 438)

8/6/2019 Bcma Final

10/23

BMCA SOFTWARE: A CLOSER LOOK

Verifies the correct

medication was ordered &

administered on time.

Displays correct dosage. Documents the

administration time.

Purpose is to ensure Five

Rights universal standardof medication

administration.

(Wideman,Whittler, & Anderson,

n.d.)

8/6/2019 Bcma Final

11/23

SOFTWARE DATABASE

y Name of patient

y Room number

y Patients identification number

y Patients sex/age

y Patients Length of stay

y Attending physician

8/6/2019 Bcma Final

12/23

BCMA INFORMATION SYSTEMSSystem Elements Definitions BCMA Examples

Input Data and information entered into a

computer system

Scanned orders, entered orders,

scanned barcodes

Process Action of transforming input into

output

Pharmacy and nurses verifying

orders in the system throughout the

process

Output Changes that exit a system and that

can activate or modify processing

After scan, software verifies that

the medication is correct according

to the 5 rights of administration so

the medication can be given

Feedback Information from the system that is

used to make modifications in the

input, processing actions, or

outputs

Pharmacy message option,

medication error forms

Control Regulates: input via checks,

process by completing the

operations & detecting errors, and

output by ensuring conformity

Pharmacy allergy checks, scanning

alerts when wrong medication

scanned, wrong time, etc.

(McGonigle & Mastrian, 2009)

8/6/2019 Bcma Final

13/23

USABILITY OF SOFTWARE

Focusgroup

Heuristicevaluation

Formalusabilitytest

Field study

Launchprogram

8/6/2019 Bcma Final

14/23

BCMA ADVANTAGES

Reduction in medication errors.

Ease of checking the five rights of medication

administration i.e. medication, dose, route, time, patient.

Lab results can be displayed at the point of care.

Alerts for missed medicationsImproved communications between dept.

Reduction of overall cost of care

Ready access to patient medication record information

8/6/2019 Bcma Final

15/23

BCMA DISADVANTAGES

Estimated to cost $1,799 per bed to implement BCMA,with an additional $1,000 yearly for maintenance.

No universally accepted bar codes.

Bar codes that are unable to be scanned.

Equipment malfunction.

Over reliance on BCMA to catch errors.

Stat medication turnaround time.

(ZIH, 2006)

8/6/2019 Bcma Final

16/23

LEGAL AND ETHICAL ISSUES

Prior to development, approximately 7,000 deaths

per year due to medication error.

Developed to decrease medication errors and

improve patient safety.

Enforces use of 5 Patient Rights of Safe

medication administration.

System automatically holds electronic

patient health and medication record.

Decreases length of patient stay due to

increased medication efficacy over the long term.

(American Journal ofHealth-System Pharmacy, 2003)

8/6/2019 Bcma Final

17/23

INFORMATICS COMPETENCIES OF

NURSES USING BCMA Workshops for knowledge and ease of access

Successful completion of the workshop

Ability to use a computer and log on

Knowledge of how the software works

How to fix errors, or get in contact with someone who can fix it

8/6/2019 Bcma Final

18/23

FUNCTIONS & RESPONSIBILITIES OF

INFORMATICS NURSESWORKING

WITH BCMA: Incorporate theories, principles, and concepts from appropriate

sciences and evidence based practice

Integrate ergonomics and human-computer interaction

principles appropriately and efficiently Systematically determine the social, legal, and ethical impact

and play an active role in system improvement

(McGonigle & Mastrian, 2009)

8/6/2019 Bcma Final

19/23

SUMMARY

BCMA

Electronic software application that utilizes barcode

technologies

Created primarily to increase patient safety related tomedication administration

Cost effective over the long term

Increases patient satisfaction

Increasing the use of informatics technology in nursingpractice

8/6/2019 Bcma Final

20/23

REFERENCES:

American Journal ofHealth-System Pharmacy (July 2003).Impact of emerging technologieson medication errors and adverse drug events. Retrieved November 30, 2009 from

Medscape: http://search.medscape.com/medscape search?queryText=

Impact%20of%20emerging%20technologieson%20medication%20 errors%20and

%20adverse%20drug%20events.

Conner-Knox, J. (October 29, 2009). Technology should reduce medicine mishaps.

McClatchey-Tribune Business News. Retrieved November 24, 2009 from ABI/Inform

Dateline

Food and Drug Administration(2004). FDA issues bar code regulation. Retrieved November 24,

2009 from Department ofHealth and Human Services: www.fda.gov

Karsh, B., Koppel, R., Telles, J., & Wetterneck, T. (2008).Workarounds to

barcode administration systems: Their occurrences, causes, and threats to patient

safety.Journal of the American Medical Informatics Association, April 24, 2008.

Retrieved November 24, 2009 from http://jamia.org/cgi/ reprint/m2616vi.pdf

8/6/2019 Bcma Final

21/23

REFERENCESCONT:

Lorkovic, S. (2007, August). eHealth and the new culture. Canadian Healthcare Manager,

14(4), 34. Retrieved November 24, 2009 from ProQuest:http://proquest.umi.com.ezaccess.libraries.psu.edu/pqdweb?index=0&did=1366215051

&SrchMode=2&sid=2&Fmt=3&VInst=PROD&VType=PQD&RQT=309&VName=P

QD&TS=1260766082&clientId=9874

McGonigle, D. & Mastrian, K. (2009).Nursing informatics and the foundation of knowledge.

Boston: Jones & Bartlett Publishers

Med Administration Check. (2009). Siemens USA. Retrieved December 12 from Seimens AG

website: http://www.medical.siemens.com/webapp/wcs/stores/servlet/ProductDisplay~

q_catalogId~e_-1~a_catTree~e_100010,1008631,1025982,1025978~a_langId~e_-

1~a_productId~e_191002~a_storeId~e_10001.htm

Wideman, M. V.,Whittler, M. E., & Anderson, T. M. (n.d.). Barcode Medication

Administration: Lessons Learned from an Intensive Care Unit Implementation.

Advances in PatientSafety, 3, 437-451. Retrieved from

http://www.ahrq.gov/downloads/pub/advances/vol3/ Wideman.pdf

8/6/2019 Bcma Final

22/23

REFERENCESCONT:

ZIH Corporation (2006). Issues and opportunities for introducing barcode systems in

hospitals. Retrieved November25, 2009 from Zebra Technologies:

http://www.zebra.com/id/zebra/na/en/documentlibrary/whitepapers/introduce_

barcode_hospitals.DownloadFile.File.tmp/WP13966_HCissueBrief_new.pdf?dvar1=

White Paper&dvar2=Issues and Opportunities for Introducing Bar Code Systems in

Hospitals

8/6/2019 Bcma Final

23/23

THANK YOU