 Bar Coding Presented By: Kelly Dwyer

Objectives  Describe Bar Coding  Describe How Bar Coding is Used in Today’s Healthcare  Examine Financial Implications  Discuss Patient Safety  Examine Accuracy of Medication Administration  Discuss Advantages/Disadvantages from a Nursing Perspective

Bar Coding ☐ A way to represent data that is fast and easy. ☐ Typically a reference number used to look up data. ☐ First introduced into clinical area of healthcare in mid 1990’s (HIMSS, 2003)

Bar Coding Efficient way to ID patient Used to administer meds Fast access to patient info Helps prevent med errors Systematic way of charting (HIMSS, 2003)

Bar Coding  Where can bar codes be found?  Patient ID bracelets  Medications  OR tools  Supplies (Hankin, 2002)

Hardware  Computer  Bar Code Scanner  Keyboard  Mouse  Printer  Labels (CYBRA, 2010)

Barcode Scanner o Optical/laser devices o Interpret data within barcode o Various scanners available o Saves time and money o Eliminates errors (Azalea, 2009)

Software  Meditech  IT Medical Solutions  BarControl  Code Corporation  JADAK (JAZD Market, 2010)

MEDITECH Allows nurse to see:  Demographic data  Allergies  Lab results  Med/Trans orders  Clinical indicators  Editable drug monographs (eMAR)  Dose instructions (Medical Information Technology, Inc, 2010)  Software used for bar coding  Status board and electronic chart  Easy access to data  Helps eliminate med errors

Usability  Software easy to use  Uses cognitive walkthrough  Software tested prior to launch  Field study ( Effken, 2009)

Information System Computer based system Combination of software, hardware and telecommunication Composed data that is analyzed (McGonigle & Mastrain, 2009)

Summary of CBIS  Clinical information system  Used by: nurses, physicians, pharmacists, etc.  Functions mainly for documentation purposes  Point of Care configuration  American National Standards Institute (ANSI)  Health Industry Business Communications Council (HIBCC) (Hankin, 2002)

Summary of CBIS  National Patient Safety Goals  Highly recommended (Foote & Coleman, 2008)

BCMA Advantages  Medication Administration Safety using 6 rights  Helps identify potential errors  Medication administration accuracy  Easy documentation of meds  Time saver  Cost efficiency  Five Goals for BCMA 1. Increase patient safety 2. Increase patient satisfaction 3. Increase efficiency 4. Increase nursing satisfaction 5. Decrease patient care costs (Foote & Coleman, 2008)

BCMA Disadvantages  Errors on wristbands at registration  Wrong wristband on patient  Font size on wristband  Scanning bar code can disturb patient  All meds not documented (McDonald, 2006)

Ethical/Legal Issues  Patient information left on computer screen  Lack of medication observation  Documentation errors  Flaws in system (Foote & Coleman, 2008)

Informatics Competencies  General education on system  One on one user instructions  Refresher courses  Training of power users (Cummings, Bush, Smith & Matuszewski, 2005)

Functions & Responsibilities of Informatics Nurse  Involved in: Selection, Design, Implementation and Evaluation  Daily use of: Computers, Technology, and Systems  May become super users  Use nursing process (Daurio, 2002)

Summary  Way to identify patients  Bar codes found in many places  Helps prevent med errors  Cost effective  Allows for easy documentation  Increases nursing satisfaction (HIMSS, 2003)

References Azalea Software. (2009). Barcode FAQ. Retrieved October from Cummings, J., Bush, P., Smith, D, & Matuszewski, K. (2005). American Journal of Health-System Pharmacy. Bar-coding medication administration overview and consensus recommendations. CYBRA Corporation (2010). CYBRA Bar Code Solutions: Hardware and Labels. Retrieved October from Daurio, N.R. (2002). Nurse Week. Nurses Embrace Technology. Retrieved on November from Effken, J. (2009). Nursing Informatics and the Foundation of Knowledge. Improving the Human-Technology Interface. Foote, S.O. & Coleman, J.R. (2008). Nursing Economics. Medication Administration: the implementation process of barcoding for medication administration to enhance medication safety. Retrieved October 29, 2010 from Hankin, R.A. (2002). Bar Coding in Healthcare- A Critical Solution. Business Briefing: Medical Device Manufacturing & Technology. Retrieved September from

References HIMSS (2003). Bar Code Technology in Healthcare [DX Reader Version]. Retrieved September from JAZD Markets, Inc (2010). Bar Coding System Companies: Healthcare Bar Coding System. Bar Coding System. Retrieved October from Medical Information Technology, Inc. (2010). MEDITECH. Patient Care System Functionality Brief. Retrieved October from McDonald, C.J. (2006). Annuals of Internal Medicine. Computerization Can Create Safety Hazards: A Bar-Coding Near Miss. Retrieved on November from McGonigle, D. & Mastrain, K. (2009). Nursing Informatics and the Foundation of Knowledge. Introduction to Information, Information Science, and Information Systems. Staggers, Nancy. (2003). Human Factors: Imperative Concepts for Critical Care Retrieved October from