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Why barcode medications?. Admin Rx at the Medical University of South Carolina. Why barcode medications?. More people die in a given year as a result of medical errors than from motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516).

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Why barcode medications?

Admin Rx at the

Medical University of South Carolina


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Why barcode medications?

More people die in a given year as a result of medical errors than from motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516).

Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999


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Why barcode medications?

Nationally 2 of every 100 admissions experienced a preventable adverse drug event, resulting in increased hospital costs of $4,700 per admission.

This is $2.8 million annually for a 700-bed teaching hospital.

Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999


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Where do medication errors occur?

Bates, Cullen, Laird, et al. “Incidence of Adverse Drug Events and Potential Adverse Drug Events.” JAMA, 1995, 274, 29-34.


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Why barcode medications?

*Barcode Medication Administration (BCMA) in VA Medical Centers*:

  • Right drug 75% improvement

  • Right dose 62% improvement

  • Right patient 93% improvement

  • Right time 87% improvement

  • Missed meds 70% improvement

*Johnson, Carlson, Tucker, & Willette Using BCMA in VA Medical Centers

Journal of Healthcare Information Management-Vol 16, No.1


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Why barcode medications?

*Eastern Kansas Health Care System (VA) 1994-2001*:

  • 8,000,000 doses dispensed

  • 549,000 errors prevented

  • 0 documented errors


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Why barcode medications?

*Eastern Kansas Health Care System (VA) 1994-2001*:

  • 0 documented errors?

    On what does this depend?

  • How do we define “error”?

  • Doing BCMA the right way


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Why barcode medications?

  • How do we define “error”?

er·ror

  • failure of a planned action to be completed as intended (an error of execution)

  • or the use of a wrong plan to achieve an aim (an error of planning)

  • How we define a med error at MUSC?

  • deviation from what the prescriber intended

Kohn, Corrigan & Donaldson, “To Err is Human”, Institute of Medicine, 1999


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Admin Rx at MUSC

Doing BCMA the right way

  • Will we alter the wrist scanning process for

    • Isolation patients

    • Emergency Department

    • Surgery

    • NICU, nursery

  • Details of dispensed medications

    • Half pill ordered, half pill delivered

    • Insulin, topicals

    • IVF with additives


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How we catch medication errors- a closed loop system:


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