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“The hospital room of the future is more interactive, integrated and efficient.
An example of such a room, developed by Cerner Corp., a health-care information technology company, was showcased at the University of Utah’s School of Medicine on Monday.”
Article
Lynne Wilde II, Deseret News, 14 October 2008
“The National Patient Safety Agency has urged all NHS organisations in England and Wales to use the NHS Number as a national, unique patient identifier to reduce errors caused by local numbering systems.”
Article
e-Health Insider, 22 september 2008
“Student nurse Chris Chapman got ready to give her next patient his medications Wednesday morning at Parkview Hospital. She logged onto a laptop computer on a rolling cart and checked Jeff Enyeart’s chart for the drugs and dosages he needed.
From the pocket in her scrubs, she pulled out a Palm Pilot and brought up information on the medications in a drug reference guide, one of five nursing textbooks on her PDA.”
Article
Jennifer L. Boen, The News-Sentinel, 18 September 2008
“Providence Healthcare Network in Waco, Texas, has completed implementing San Diego-based IntelliDOT’s Bedside Medication Administration system and has integrated it with its Epic EMR.
According to the company, this is the first implementation where IntelliDOT BMA has been integrated with an EPIC HIS.”
Article
Healthcare Informatics, 25 August 2008
“Hospitals throughout England and Wales will soon be using patient identification wristbands to improve patient safety.
The National Health Service Supply Chain (NHSSC) has signed a multi-year contract with Bristol-based P3 Medical Ltd., to provide wristbands to the NHS hospital. Under the contract, P3 will distribute positive patient identification wristbands from Precision Dynamics Corporation, a global provider of identification wristbands and advanced RFID and bar code solutions.”
Article
Molly Merrill, Healtcare IT News Europe, 15 August 2008
“After several cases of children being harmed or even killed after being given the wrong dose of medication, a local hospital’s policy became more prevalent.
Centennial Medical Center switched recently to a bar coding system, which is similar to what is seen in stores and will match the correct medicine to patients.”
Article
Tom Randles, WSMV, 18 July 2008
“A project promoting the use of technology to improve safety in patient identification and tracking, medicines and surgical instruments is gaining success in hospitals across England.
The Automatic Identification and Data Capture (AIDC) project has now reached 110 hospitals nationwide. AIDC is being managed by NHS Connecting for Health (NHS CFH) with identification-standards organisation GS1UK in conjunction with the National Patient Safety Agency and NHS Purchasing and Supply Agency.”
Article
British Journal of Healthcare Computing & Information Management, 10 July 2008
“In the first study of its kind, researchers led by The University of Pennsylvania School of Medicine’s Ross Koppel, Ph.D. studied how hospital nurses actually use bar-coded technology that matches the right patient with the right dose of the right medication. The surprising result is that the design and implementation of the technology, which is often relied upon as a “cure-all” for medication administration errors, is flawed, and can increase the probabilities of certain errors.”
Article
Medical News Today, 2 July 2008
“I recently attended the Government Health IT Conference & Exhibition 2008 in Washington. Many in the audience to the presentations were expressing puzzlement as to why HIT’s diffusion was still relatively limited. Most seemed to gravitate towards blaming physicians in one form or another. I raised the issue that perhaps there are many other factors prevalent that are not well understood, and that more research was urgently needed. (To my surprise, the plenary session members agreed.)”
Article
S. Silverstein, Health Care Renewal, 15 June 2008
“These days, when a nurse walks into a room at Shenandoah Memorial Hospital, patients instinctively hold out their wrists, or at least that’s what the nurses joke, according to Lisa Stokes, vice president of patient care services at the hospital.
Patients have actually been holding out their wrists since January, when Valley Health rolled out a bedside bar code scanning system as part of $10 million in spending on patient safety initiatives. And for a year now, a computerized provider order entry system has been in place, also part of the spending.”
Article
Jessica Wiant, NV Daily, 3 June 2008
“Enterprise mobility has emerged as a top strategic initiative among leading health care organizations. The ability of a health care organization to connect the right information with the right caregiver regardless of location or circumstance, enterprise mobility has the potential to increase patient safety and caregiver efficiency. To benchmark the current state of adoption, Motorola’s Enterprise Mobility business conducted independent research among a representative sample of various decision-makers, the chief purchasers of mobility solutions and mobile workers within the health care industry.”
Article
Jeff Schou, HHNMostWired, 4 June 2008
“This is one of the most commonly asked questions in IT World, and my answer has always been “CPOE first” – largely because that has always been David Bates’s (the world’s leading IT/safety researcher) answer. But I’ve changed my mind. Here’s why.”
Article
Bob Wachter, The Health Care Blog, 5 May 2008
Abstract:
We develop a typology of clinicians’ workarounds when using barcoded medication administration (BCMA) systems. We then identify the causes and possible consequences of each workaround. BCMAs usually consist of handheld devices for scanning machine-readable barcodes on patients and medications. They also interface with electronic medication administration records. Ideally, BCMAs help confirm the “five-rights of medication administration:” right patient, drug, dose, route, and time. BCMAs are reported to reduce medication administration errors-the least likely medication error to be intercepted–although these claims have not been clearly demonstrated. We studied BCMA use at five hospitals by: 1-observing and shadowing nurses using BCMAs at two hospitals; 2-interviewing staff and hospital leaders at five hospitals; 3-participating in BCMA staff meetings; 4-participating in one hospital’s failure-mode-and-effects analyses; 5-analyzing BCMA override log data. We identified 15 types of workarounds, including, for example, affixing patient-ID-barcodes to computer carts, scanners, doorjambs, or nurses’ belt-rings; carrying several patients’ pre-scanned medications on carts. We identified 31 types of causes of workarounds, such as, unreadable medication-barcodes (crinkled, smudged, torn, missing, covered by another label); malfunctioning scanners; unreadable or missing patient-ID-wristbands (chewed, soaked, missing); non-barcoded-medications; failing batteries; uncertain wireless connectivity; emergencies. We found nurses overrode BCMA-alerts for 4.2% of patients charted and for 10.3% of medications charted. Consequences of the workarounds include administration of wrong medications, doses, times, and formulations. Shortcomings in BCMAs’ design, implementation and workflow integration encourage workarounds. Integrating BCMAs within real-world clinical workflows requires attention to use in situ to ensure safety features correct use.
Article
Ross Koppel, Tosha Wetterneck, Joel Leon Telles, and Ben-Tzion Karsh, Journal of the American Medical Informatics Association, April 24, 2008 as JAMIA PrePrint; doi:10.1197/jamia.M2616
“Only 11% of pharmacies enabled for the Electronic Prescription Service are scanning every barcode prescription with problems including slow download speeds, the barcodes themselves being too faint to scan and slow log-in times, according to a survey.”
Article
eHealth Insider Primary Care, 29 April 2008
“The American National Standards Institute has approved the first part of new data standards to assist in positively identifying patients, drugs, devices and other processes in care delivery using bar code, radio frequency identification and two-dimensional symbol technologies.”
Article
Health Data Management, 23 April 2008
“Midland Memorial Hospital is finally ready to brag about its Medsphere EMR system, installed for $7 million when other vendors were asking at least $18 million.”
Article
Dana Blankenhorn, ZDNet Healthcare, 12 March 2008
“A lot of hospitals refer to themselves are “high tech,” but at OhioHealth Inc.’s Dublin Methodist Hospital, they really mean it. A tour of the new facility, which opened Jan. 8, reveals enough state-of-the-art medical equipment to make “Star Trek’s” Dr. McCoy envious.”
Article
Don Vaughan, Nurse.com, 10 March 2008
“When hospital CIOs and vendor executives gathered recently to discuss medication safety technology, the importance of culture change and executive sponsorship dominated the conversation. As with other technology implementations, winning over end users and senior leaders should start long before an IT staff member lays a finger on a clinician’s computer.”
Article
Jane Jeffries, HHNMostWired, 13 February 2008
“Technology is coming to the rescue of doctors and nurses, who for decades have kept track of sponges by manually counting them.”
Article
Bruce Japsen, Chicago Tribune, 2 January 2008
“By now, we were all supposed to be working in the paperless office. One glance at the Health Blog’s desk shows it ain’t so.
But the push is nonetheless on for the paperless hospital. And Ohio Health, a 16-hospital system based in Columbus, says it will hit the mark — just about — when it opens a new hospital in Dublin, Ohio, on Jan. 8.”
Article
Theo Francis, WSJ Health Blog, 28 December 2007
“About 1,000 times a year in the United States, a surgeon leaves a surgical sponge inside a patient.
This can cause such problems as infections, longer hospital stays, additional surgeries and even deaths.
To reduce the likelihood of such mistakes, Loyola is becoming one of the first hospitals in the country to use sponges labeled with bar codes.”
Article
Jim Ritter, Chicago Sun Times, 6 December 2007
“Wythenshawe Hospital, part of the University Hospital of South Manchester NHS Foundation Trust, has deployed new bar code scanners form Datalogic to digitally track and call up paper patient records from their new iPM patient administration system (PAS).”
Article
e-Health Insider, 13 November 2007
“England’s Wythenshawe Hospital is realising better management of patient records as a result of installing bar code scanners from Datalogic over two years ago.”
Article
Chip Means, Healthcare IT News EU, 28 September 2007
“HOSPITAL patients in Queensland are to be stamped with barcodes in a move to prevent operations being performed on the wrong body parts.”
Article
Janelle Miles, News.com.au
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Scott Kozicki:
I agree with Jen that there’s patient “influence” but Lodewijk’s comment still...
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