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infomratics > W5 > Flashcards

W5 Flashcards

1
Q

What is GS1

A
  • GS1 is a global non-profit automatic identification and data capture (AIDC) standards organization that manages many international data standards
  • GS1 standards are employed across a number of businesses ranging from grocery and clothing retailers, agriculture, equipment and healthcare products and processes
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2
Q

GTIN

A

Global Trade Item Number

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3
Q

UPC

A 
(GTIN12)
1D
omnidirectional
12 character
numeric characters only
allows HTIN-12 (12 character GTIN only)
point of salw
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4
Q

DAtaBar

A 
GS1 Batabar (GTIN 14)
one diectional
omnidirectional
14 character 
0 on left to make up full 14 character
numbers only
allows GS1 application identifiers
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5
Q

Databar expanded

A

ID and omnidirectional
74 numeric or 41 alphanumberic
allows GS1 application identifiiers

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6
Q

Databar composite

A

mixed 1d and 2d

allows GS1 application identifiers (GTIN and others)

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7
Q

GS1 Data Matrix

A 
2D, compact
can be etched on metal
3116 numeric or 2335 alphanumeric
allows GS1 application identifiers (GTIN and others)
camera based readers req
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8
Q

GS1 QR codes

A

approved for product or customer information

not yet approved for use in product automated identification

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9
Q

why bar code in HC sector

A 
brings efficiency and transparency to 
o	Retails 
o	Manufactures 
o	Suppliers
o	Consumers
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10
Q

Bar coding and errors

A

helps reduce errors

most errors are in prescribing and administering step

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11
Q

what are the two types of human errors

A

slips and mistakes

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12
Q

what is a slip

A

refer to an action that is either forgotten or the action is performed using an incorrect product or on the wrong target
 Ex. choosing the wrong medication by not reading a label carefully, choosing a wrong patient, or omitting a scheduled dose
 A prompt could be used to fix this

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13
Q

what is a mistake

A

an error in execution where a human is generally alert, but consciously chooses the wrong action in the incorrect manner
 Ex. includes a calculation mistake, incorrectly setting up a pump rate, selecting an incorrect medication, choosing incorrect information to apply to the clinical situation
 Harder to fix

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14
Q

what is the goal of automation *

A
  • Reduce errors at the points of prescribing, transcribing, dispensing, and administration that are related to system issues, through the use of information technology and automation
  • Routine medication process tasks can be best supported by carefully-planned automated support; reducing the potential for inadvertent human error, while maximizing their opportunity for patient-focused care
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15
Q

What is automation believe*

A
  • Shared belief is the importance of medication automation for improving medication safety
  • Incorporating automation and bar code scanning at inventory, medication re-packaging, dispensing, compounding, and drug distribution effectively
  • Reduces reliance on memory
  • Improves communication
  • Improves access to information
  • Improves productivity and teamwork
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16
Q

what is the pharmacy process

A
  • Pharmacy has to ensure the safe, efficient, and effective delivery of medication therapy include:
    o Medication re-packaging/pre-packaging to unit of use/unit dose packages from the original manufacturer’s bulk product
    o Sterile and non-sterile medication compounding
    o Medication dispensing
    o Medication distribution from the pharmacy to designated patient care areas
    o Restocking of a medication storage area on the patient care unit
    o Medication dispensing of the prescription to a consumer
17
Q

what are medication automation systems

A
  • Automated pharmacy inventory management/vertical carousel technology
  • Better controlled and tracked, improving space utilization, inform where a product, reduce the walking and searching

ex: automatic packagers, robotics, bare code medication admin (BCMA), automated medication cabinet, smart infusion devices

18
Q

what are automated packagers

A

o Repackage and label bulk supplies of medications into patient specific unit doses of medications

19
Q

what are robotics in pharmacy

A

o Pharmacy inventory
o Repackaging
o Fast and accurate medication dispensing
o Returning drug stock to inventory for unused unit of use medications

20
Q

BCMA

A
  • Bare code medication administration (BCMA)
    o Reduce medication errors – dispensing and administration errors
    o Increase staff productivity and workflow
    o Improve overall operational efficiencies and quality of care
    o Enable data collection and feedback regarding adverse events averted
    o Enable standardization across the system
21
Q

automated medication cabinet

A

o All of the medications that a nurse may require for patients in a patient care area are securely stored in the cabinet
o Benefits:
 Increase authorized access to both medications and patient information
 Improve medication security
 Improve medication turnaround time
 Increased productivity
 Medication accuracy and safety
 Improvement in patient care
 Improvement in drug use management and inventory

22
Q

smart infusion devices

A

 Smart pumps combined with bar coding provide automated identification options for pump programming (including the GS1 Datamatrix bar code), thereby significantly enhancing safety features of these devices
 When combined with bar code identification of the user as well as the patient, the mart infusion device may reduce the error potential to administer the wrong drug/rate/patient, and can also auto-identify the care provider as well as auto-identify the patient

23
Q

Canadian Drivers for Medication Bar Coding

A
  • In Canada, (DIN) is regulated by Health Canada and designated to a pharmaceutical product
  • The DIN is unique to the active ingredient, strength, unit of measure, dosage form, and manufacturer
  • However, it does not reflect the package size
  • Canada Health Infoway designated the GS1 GTIN as a Canadian Approved Standard (CAS) for uniquely identifying pharmaceuticals throughout each stage of the medication use process
  • Canadian Pharmaceutical Bar Coding Project – ISMP
  • Canadian Vaccine Bar Coding Initiative – PHAC
    o Began around 2007
    o As of 2018, 80% of vaccine products has 2D bar codes on the primary packaging, 2D or linear bar codes on the secondary packaging; and GS!-128 bar code on the case level package
24
Q

Why not put bar code and automation everywhere?

A
  • Infrastructure considerations
  • Workflow process considerations
  • Selection of the bar code symbology
  • Hardware decisions
  • Employee identification badges/patient identification badges
  • Staff resistance
  • Need health technology assessment (HTA)
    o Evidence (efficacy), economics (cost-effectiveness), ethical issues (patient preferences)

infomratics (4 decks)

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