IMPLEMENTATION OF BARCODED MEDICATION ADMINISTRATION AT A MULTI FACILITY HEALTHCARE SYSTEM Sarah Alameddine, PharmD1, Katy Lacknauth, PharmD2, Zaher Hajar, PharmD2 1College of Pharmacy, Nova Southeastern University, Fort Lauderdale, FL, USA 2Broward Health, Fort Lauderdale, FL, USA
Background • Despite error-prevention efforts, medication errors continue to harm millions of inpatients and result in billions of additional healthcare costs annually • Hospitals are continuously working to optimize their medication use process to decrease medication errors and meet national standards for patient safety • Most effective error-prevention strategies, according to ISMP target system changes rather than rely on human vigilance • Medication barcode scanning technology offers a strategy to improve medication administration accuracy
Preliminary Results Methods • Mixed method study design will be followed to evaluate BCMA implementation at Broward Health ERDs • Electronic Medication Administration Record (eMAR) documentation and follow up metrics reports will be created within discern analytics by information system analysts • Data will be manually filtered to exclude all out of scope cases
Event Alerts Captured
VS
- 90days
BCMA GO-LIVE
Exclusions • Exclusions to scanning identified by clinical leaders will include patients requiring immediate administration of medications based on life threatening circumstances
Broward Broward Broward Health Health Health Coral Spring Imperial Point North Adults ERD Pediatric ERD Total # Of Events
15,332
47,117
30,261
6,597
Meds Patients
94% 96%
89% 93%
94% 97%
87% 93%
Event Alerts Captured % scanning rate
Purpose • Evaluate the implementation of Barcoded Medication Administration (BCMA) at four independent Emergency Departments (ERDs) in a 1500 bed multi-facility healthcare system
% Scanning Rates at 90Days Post-implementation
Alerts/Administration Events BHIP-ER BHN- ER BHCS- ER
Pre (90 days)
% Pre Post (90 days)
% Post
0 /14700 47/28333 21/33935
0% 0% 0%
12% 9% 11%
1809/15045 2595/28818 3936/36440
+90days
• BCMA implementation project leaders will be interviewed and qualitative methods will be used to note advantages of the BCMA implementation approach and challenges faced. Lessons learned will be captured along the process • Descriptive statistics will be used to characterize findings
Disclosure Authors of this presentation have the following to disclose concerning possible financial or personal relationships with commercial entities that may have a direct or indirect interest in the subject matter of this presentation: All authors report no conflict of interest to disclose
Contact Information Sarah Alameddine, PharmD, Email:
[email protected]
