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24
May, 2013
Friday

Barcode

Modeling nurses’ acceptance of bar coded medication administration technology at a pediatric hospital

Holden RJ et al, J Am Med Inform Assoc, 2012

Objective
To identify predictors of nurses’ acceptance of bar coded medication administration (BCMA).DesignCross-sectional survey of registered nurses (N=83) at an academic pediatric hospital that recently implemented BCMA.

Methods

Surveys assessed seven BCMA-related perceptions: ease of use; usefulness for the job; social influence from non-specific others to use BCMA; training; technical support; usefulness for patient care; and social influence from patients/families. An all possible subset regression procedure with five goodness-of-fit indicators was used to identify which set of perceptions best predicted BCMA acceptance (intention to use, satisfaction).
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Published: 3 June 2012 |
Keyword(s): Barcode, Nurses, Satisfaction, United States, Usefulness

Barcoding Human Physical Activity to Assess Chronic Pain Conditions

Paraschiv-Ionescu A et al, PLoS ONE, 7(2)

Background
Modern theories define chronic pain as a multidimensional experience – the result of complex interplay between physiological and psychological factors with significant impact on patients’ physical, emotional and social functioning. The development of reliable assessment tools capable of capturing the multidimensional impact of chronic pain has challenged the medical community for decades. A number of validated tools are currently used in clinical practice however they all rely on self-reporting and are therefore inherently subjective. In this study we show that a comprehensive analysis of physical activity (PA) under real life conditions may capture behavioral aspects that may reflect physical and emotional functioning.
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Published: 23 February 2012 |
Keyword(s): Barcode, Chronic Pain, Physical Activity, Switzerland

Enhancing Patient Safety through Electronic Medical Record (EMR) Documentation of Vital Signs

Gearing P et al, Journal of Healthcare Information Management, 20(4)

As technology becomes more sophisticated in healthcare, there is increasing need to measure its impact on key quality indicators, such as error reduction, patient safety, and cost-benefit ratios. When a product is designed to decrease medical errors, the baseline error rate must be determined before implementation to accurately measure the impact. Given the opportunity to adopt a technology that would eliminate the need to manually document vital signs, a large Florida hospital decided to measure the current process and error rate of vital signs documentation.
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Published: 1 September 2006 |
Keyword(s): Barcode, Documentation, Electronic Health Records, Electronic Medical Records, Medical Errors, Patient Safety, United States

Design and evaluation of a wireless electronic health records system for field care in mass casualty settings

Lenert LA et al, J Am Med Inform Assoc, 2011

Background
There is growing interest in the use of technology to enhance the tracking and quality of clinical information available for patients in disaster settings. This paper describes the design and evaluation of the Wireless Internet Information System for Medical Response in Disasters (WIISARD).
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Published: 27 June 2011 |
Keyword(s): Barcode, Disaster, Electronic Health Records, Handheld, United States, Wireless

The road to electronic health records is paved with operations

Rubin AD, McFerran VA. The American Journal of Managed Care, 16(12 Suppl HIT)

The University of California, Los Angeles (UCLA) Health System seeks to align its purpose of “healing humankind” with its approaches for people and performance management. These approaches include lean process improvements initiatives, sustained by efforts to impact daily team member work flows. The electronic health record (EHR) serves as a powerful supportive instrument in improving processes and sustaining performance.
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Published: 23 December 2010 |
Keyword(s): Barcode, Effectiveness, Electronic Health Records, Telestroke, United States, Workflow

Effect of Bar-Code Technology on the Safety of Medication Administration

Poon EG et al, N Engl J Med, 362(18)

Background
Serious medication errors are common in hospitals and often occur during order transcription or administration of medication. To help prevent such errors, technology has been developed to verify medications by incorporating bar-code verification technology within an electronic medication-administration system (bar-code eMAR).
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Published: 6 May 2010 |
Keyword(s): Adverse Drug Events, Barcode, Hospitals, Medication Errors, Safety, United States

Personal digital assistant with a barcode reader-A medical decision support system for nurses in home care

Johansson, Pauline E. et al, International Journal of Medical Informatics, 79(4)

Introduction
Inappropriate medication among elderly people increases the risk of adverse drug–drug interactions, drug-related falls and hospital admissions. In order to prevent these effects it is necessary to obtain a profile of the patients’ medication. A personal digital assistant (PDA) can be used as a medical decision support system (MDSS) to obtain a profile of the patients’ medication and to check for inappropriate drugs and drug combinations, and to reduce medication errors.
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Published: 4 February 2010 |
Keyword(s): Barcode, Decision Support Systems, Home Care, Medical Informatics, Nurses, Personal Digital Assistant, Sweden

Overcoming Barriers to Pharmacy Bar Code Scanning System Implementation: A Case Study

Nanji, Karen C. et al, J Am Med Inform Assoc, 16(5)

Technology has great potential to reduce medication errors in hospitals. This case report describes barriers to, and facilitators of, the implementation of a pharmacy bar code scanning system to reduce medication dispensing errors at a large academic medical center. Ten pharmacy staff were interviewed about their experiences during the implementation. Interview notes were iteratively reviewed to identify common themes.
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Published: 6 September 2009 |
Keyword(s): Barcode, Hospitals, Implementation, Medication Errors, Pharmacies, United States

Computerized Order Entry: The Authors Respond

Aarts, Jos, and Ross Koppel, Health Affairs, 28, no. 4

We welcome the additional information on computerized prescriber order entry (CPOE) adoption in the United States, in response to our paper (Mar/Apr 09). Although Craig Pedersen and Karl Gumpper’s study (Note 1 in Gumpper and William Zellmer’s letter) was not available when we submitted our paper, the figures concur with our findings and estimates.
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Published: 1 July 2009 |
Keyword(s): Adoption, Barcode, CPOE, Hospitals, United States

An EHR Is Not always a Perfect Fit

Anderson, Howard J., Health Data Management, 17(4)

Amidst all the hoopla about electronic health records, Ken Beasley is sticking to his guns. When it comes to a conventional EHR, he says “thanks, but no thanks.”
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Published: 1 April 2009 | 1 Comment »
Keyword(s): Barcode, Electronic Health Records, United States

Using Barcode Medication Administration to Improve Quality and Safety

Hook, Julie M. et al, AHRQ, Publication No. 09-0023-EF

Errors associated with medications are the most frequent cause of adverse medical events. The Institute of Medicine has estimated that every year there are more than a million injuries and almost 100,000 deaths attributed to medical errors.
[ More ]

Published: December 2008 |
Keyword(s): Barcode, CPOE, Hospitals, Medication, Nurses, United States

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy

Poon, Eric G. et al, Annals of Internal Medicine, 145(6)

Background:
Many dispensing errors made in hospital pharmacies can harm patients. Some hospitals are investing in bar code technology to reduce these errors, but data about its efficacy are limited.

Objective:
To evaluate whether implementation of bar code technology reduced dispensing errors and potential adverse drug events (ADEs).
[ More ]

Published: 31 December 1969 |
Keyword(s): Automatic Data Processing, Barcode, Hospitals, Medication Errors, Pharmacies, Safety, United States

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