AMIA Annu Symp Proc - Effectiveness of bar coded medication alerts for elevated potassium.

Tópicos

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Resumo

Bar coded medication administration (BCMA), the automated electronic verification of medications by nurses at the patient bedside, provides an additional layer of safety to the process of medication administration in the hospital setting. We performed a retrospective, descriptive study of BCMA alerts for elevated potassium (>5.5 mg/dL) in place within a multihospital healthcare system. Overall, 642 BCMA alerts were analyzed with a 21.3% acceptance rate. In subgroup analysis, we found that the BCMA acceptance rate was 6.9% for patients aged less than one year, and 85.6% for patients aged greater than one year. The major contributing factor to the low overall acceptance rate was the high frequency of alerts in patients less than 1 year of age. Modifications to rules logic may be necessary for this specific population. While BCMA alerts can beneficial, they should be carefully implemented with periodic post-implementation analysis and refinement.

Resumo Limpo

bar code medic administr bcma autom electron verif medic nurs patient bedsid provid addit layer safeti process medic administr hospit set perform retrospect descript studi bcma alert elev potassium mgdl place within multihospit healthcar system overal bcma alert analyz accept rate subgroup analysi found bcma accept rate patient age less one year patient age greater one year major contribut factor low overal accept rate high frequenc alert patient less year age modif rule logic may necessari specif popul bcma alert can benefici care implement period postimplement analysi refin

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