Implementing Barcode Medication Administration in Renal Unit of Healthcare Facility
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This article discusses the implementation of barcode medication administration in the renal unit of healthcare facilities. It covers the benefits of the process, measurement of effectiveness, achievability, and realistic goals of the process. The article also provides references to support the information provided.
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SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 The Change/Intervention Implementation of barcode medication administration in the renal unit of the healthcare facility CriterionDescription of what you need to consider Specific Barcode medication administration should be used in the renal department of the hospital as the rate of medication error is higher in that section. Rack,Dudjak&Wolf(2012)mentionsthatimplementationofBarcodemedication administration in such critical department will increase the patient’s chance of recovery and will also close the loop of medication error that increases the percentage of patient safety. This will help to reduce the manual error of healthcare professionals occurred while providing medication to the patients. Further, the nursing professional will also be able to improve their medication administration related skills as it helps in enhancing the accuracy and documentation process which helps in making the entire process flowing in synergy (Henneman et al., 2012). Finally, using the barcode medical administration process will help the healthcare professional Edinburgh Napier University, BSc Nursing (Singapore)
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SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 by providing the service users with five rights of medical administration that enhances the quality of the healthcare process (Seibert et al., 2014). Measurable ï‚·The measurement of the effectiveness of the BCMA will be done by carrying out the evaluation of the medication records. For this purpose, the electronic data storage of the records will be used so that by comparing the previous medication data error with the current data, the percentage of decreased medication can be assessed (Nanji et al., 2016). ï‚·After the implementation, of the BCMA, primary evaluation will be done based on the number of errors occurring within 1 week after implementation of changed process. ï‚·The evaluation will continue till the 6 month period of change implementation and all the shifts will be included in the evaluation period so that the positive effect of BCMA on the nursing practice can be understood (Keers et al., 2013). ï‚·For this purpose, the healthcare organization should use authentic electronic healthcare record software so that after entering the data in the software, the authenticity of the data remains intact. Edinburgh Napier University, BSc Nursing (Singapore)
SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 ï‚·Further, the healthcare department should ask the nurses to recheck their data prior to entering them in the EHR as manual error in entering data in the system can also affect the evaluation process, making the measurement process compromised (Kim & Bates, 2013). Achievable ï‚·There are evidences from researches of Weston and Roberts (2013) that determine the effectiveness of BCMA in achieving the target of reduced medication error in healthcare departments throughout the world. ï‚·Seibert et al. (2014) also mentions that using BCMA in critical departments of healthcare organizations, the management can comply to the ethical healthcare policies up to 95%, as chances of errors in electronic data saving and operating software are lower than manual data storage. ï‚·Further, it is evident that for BCMA and electronic data storage, with minimal investment and employment, the healthcare facility can achieve accurate data collection by lowering the error rates. ï‚·Therefore, with proper training related to the process and effective communication within the organization, this target is achievable (Keers et al., 2013). Edinburgh Napier University, BSc Nursing (Singapore)
SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 Realisticï‚·According to the data of World Health Organization Kim and Bates (2013), more than 80 percent of nursing professional around the world uses this technique for the reduction of medication error and therefore this goal of implementing BCMA in the renal department of the healthcare system is realistic and achievable. ï‚·As per the Food and Drug Administration of USA, usage of BCMA, that started in 2004, has become an important medium to stop the healthcare related errors, as providing each medicine with one unique code or number helps the healthcare profession to be assure prior to application of that medicine on the patient. Thereby increases the accuracy of the healthcare process (Keers et al., 2013). ï‚·The study of McLeod, Barber and Franklin (2013) proved that usage of barcode medication administration process in healthcare facilities in the European region helps to lower the mortality rate by 20% and also saved 90,000 patients from medication error and increased their healthcare improvement rates. Timedï‚·For the implementation of the change a time frame should be selected so that employees Edinburgh Napier University, BSc Nursing (Singapore)
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SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 can influence themselves to achieve the target. ï‚·In this change management, timeframe of 6 month has been selected for evaluation and implementing any change if required. Further, this timeframe is enough to help the agent of change to adapt the new process within their working system (Westbrook et al., 2015). ï‚·Inthistimeframe,theemployeesshouldbeprovidedwithpropertrainingand demonstration of using EHR, medication record entry and the details of barcode medication identification so that while using the process they can perform the process accurately (Henneman et al., 2012). SMART TOOL FOR BARCODE MEDICATION ADMINISTRATION Edinburgh Napier University, BSc Nursing (Singapore)
SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 Name of the Student Name of the University Author note Edinburgh Napier University, BSc Nursing (Singapore)
SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 References Henneman, P. L., Marquard, J. L., Fisher, D. L., Bleil, J., Walsh, B., Henneman, J. P., ... & Henneman, E. A. (2012). Bar-code verification: reducingbutnoteliminatingmedicationerrors.JournalofNursingAdministration,42(12),562-566.DOI: 10.1097/NNA.0b013e318274b545 Keers, R. N., Williams, S. D., Cooke, J., & Ashcroft, D. M. (2013). Prevalence and nature of medication administration errors in health care settings:asystematicreviewofdirectobservationalevidence.AnnalsofPharmacotherapy,47(2),237-256.DOI: https://doi.org/10.1007/s40264-013-0090-2 Kim, J., & Bates, D. W. (2013). Medication administration errors by nurses: adherence to guidelines.Journal of Clinical Nursing,22(3-4), 590- 598. DOI:https://doi.org/10.1111/j.1365-2702.2012.04344.x McLeod, M. C., Barber, N., & Franklin, B. D. (2013). Methodological variations and their effects on reported medication administration error rates.BMJ Qual Saf,22(4), 278-289. DOI: http://dx.doi.org/10.1136/bmjqs-2012-001330 Nanji, K. C., Patel, A., Shaikh, S., Seger, D. L., & Bates, D. W. (2016). Evaluation of perioperative medication errors and adverse drug events.Anesthesiology: The Journal of the American Society of Anesthesiologists,124(1), 25-34. DOI:10.1097/ALN.0000000000000904 Rack, L. L., Dudjak, L. A., & Wolf, G. A. (2012). Study of nurse workarounds in a hospital using bar code medication administration system.Journal of nursing care quality,27(3), 232-239. DOI: 10.1097/NCQ.0b013e318240a854 Edinburgh Napier University, BSc Nursing (Singapore)
SMARTChangeAction PlanBSc Leadership and Innovation Module 2018 Seibert, H. H., Maddox, R. R., Flynn, E. A., & Williams, C. K. (2014). Effect of barcode technology with electronic medication administration recordonmedicationaccuracyrates.AmericanJournalofHealth-SystemPharmacy,71(3),209-218.DOI: https://doi.org/10.2146/ajhp130332 Westbrook, J. I., Li, L., Lehnbom, E. C., Baysari, M. T., Braithwaite, J., Burke, R., ... & Day, R. O. (2015). What are incident reports telling us? A comparative study at two Australian hospitals of medication errors identified at audit, detected by staff and reported to an incident system.International Journal for Quality in Health Care,27(1), 1-9. DOI: https://doi.org/10.1093/intqhc/mzu098 Weston, M., & Roberts, D. (2013). The influence of quality improvement efforts on patient outcomes and nursing work: A perspective from chief nursingofficersatthreelargehealthsystems.OJIN:TheOnlineJournalofIssuesinNursing,18(3),1-10. DOI:10.3912/OJIN.Vol18No03Man02 Edinburgh Napier University, BSc Nursing (Singapore)