2 Issues in Healthcare Patient Identification is KEY Currently Hand written wristbands8.6% of hand written wristband contain incorrect data5.7% are illegible to some degreeNo patient identificationAudit in UK hospital found that 20% of patients were without a wristband
3 And yet the patient is the key to all treatments……… Hospital Information System (HIS)OR SchedulingSystemLABPharmacyE.R. SystemBlood BankWorkflow: Process Automation(server based front end applications)Peripheral DevicesPatientTypical IT system in hospital
4 But mistakes do happen….. Adverse events occur in about 10% of NHS admissions850,000 people per yearA quarter are due to medication errorsSHOT (Serious Hazards of Transfusions )213 incidents of wrong blood being issuedOf the 213 incidents there were 344 reported errorsIn last 5yrs there have been 11 deaths
5 Solution = Positive Patient ID Track patient at every stage of their treatmentMedication administrationBlood AdministrationSample ManagementTreatmentX-Ray, surgical etc.Non-medicalMeal orders, patient billingMedicationTreatmentBarcodedPatientWristbandSample IDBlood Products
6 Wristband solution from Zebra Barcoded patient wristbandsThermal TransferZ-Band 4000Direct ThermalNEWZ-Band DirectNEW Z-Band QuickClipSmart Wristbands (13.56Mhz)Barcode printers from Zebra2824-Z, 2844-Z – ward based solutionS600 / Z4M - AdmissionsNetwork / Printer Management keyKey feature is the introduction of a Direct Thermal wristband material. Zebra have had a TT wristband solution for a few years but the intrduction of a DT solution means that nurses have a ribbon-less solution – the no longer have to spend time loading ribbon into the printer!
7 Z-Band Direct™ Direct Thermal 1-Piece Wristbands ribbon-less printing Durable image with resistance to alcohols, solvents, water and soaps1-Piece WristbandsSelf adhesive closure with security slits for immediate adhesion and tamper-evidence.Band ColourWhite, custom colours available
8 Z-Band QuickClip™ Direct Thermal 2-Piece Wristbands ribbon-less printing2-Piece WristbandsSecure clip fastening, must be cut to be removedDurable image with resistance to alcohols, solvents, water and soapsBand ColourWhite, custom colours availableColoured clips option
9 Z-Band 4000 Thermal Transfer 1-Piece resin ribbon required Latex free, waterproof, smear and abrasion resistant1-PieceSelf adhesive closureBand ColourWhite, custom colours available
10 Smart Wristbands™ 13.56Mhz RFID bands RFID Solution RFID enabled printer, R2844-ZOther: RFID readers, antennas (non-Zebra)Benefits over BarcodeCan ‘read’ band through bed coversCan store information locally on bandDisadvantages over BarcodeCostLimited hardware options
11 The Wristband FamilyThe wristband range is expanding to include adult,child and neo-natal sizes and will include both self-adhesive and clip fastening products.
12 Wristband Competitors SatoRange of ‘soft’ DT and TT wristbandsClip fasteningAdvantages over ZebraSoft texture of bands – more comfortableProduct in market for more than 1yrDisadvantages over ZebraLarge clip size unpopular with endusersCost: €0.20-€0.30/ band (Zebra €0.15-€0.20/band)
13 Wristband Competitors PDC‘Compuband’ range of DT and TT wristbandsClip fasteningAdvantages over ZebraWell established supplier of handwritten wristbands into healthcare marketExtensive network of channel in EuropeDisadvantages of ZebraCurrent Channel in Europe do not understand barcoding printers/ hardware/ supplies
14 Wristband Printers Desktop Printer Range 2”, 4” widths available Small and CompactEasy to useConnectivityUSB, serial, parallelInternal / external EthernetZebralinkNew media guide Option for WristbandsEnsures registration and print qualityMedia Guides
15 Mid-range Printers For higher volume areas Robust Larger footprint A&EAdmissionsRobustLarger footprintConnectivitySerial, ParallelInternal / External EthernetZebralink / ZBI
16 Printer Management Printers on every ward = IT nightmare! Solution = Printer Management from ZebraNetwork your printersView printer status from your deskHave the printer alert you when there is a problem!
17 Benefits of Patient ID Wristband can have text and barcode (even RFID) Patient namePatient ID number (to ref EPR)Blood typeAllergiesPrimary physiciansPre-printed colours for visual aids
18 Benefits of Patient ID Risk Reduction Automation of data entry and verificationError rate for barcode data entry is less than 1 in 3million scansImproved Processesre-designed to include scanning of patients, samples, drugs.Eliminates bad working practices
19 Benefits of Patient ID Cost Savings €€€€ Reduction of errors = reduction of costs to rectify errorsMedication errors account for 25% of mistake madeaverage cost per Adverse Drug Event = €2,257 *Study at VA hospital showed 86.2% error reduction using point-of-care scanning for medicationMore EfficientCarilion Health System reported savings of 2.75hrs per 12-hour nursing shift after starting to use barcodes as part of their medication administration*figures quoted from FDA (Federal Drug Administration)
20 Zebra Positive Patient ID Solution Accurate identification of patients is the foundation to improved care and medical treatmentTrack ‘The Patient Journey’ through the hospitalBlood BankLaboratoryMedicationAdministrationRadiologyTheatreAdmissions