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Pharm 151 - self inflicted lobotomy > Week 5 - barcoding and patient safety > Flashcards

Week 5 - barcoding and patient safety 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

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2
Q

where are GS1 standards employed

A

employed across a number of businesses ranging from grocery and clothing retailers, agricultural equipment and HC products and processes

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3
Q

GTIN - what does it abbreviate

A

global trade mark item number

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4
Q

Types of barcodes

A

UPC A GS1 (GTIN 12)

GS1 DataBar (GTIN 14)

GS1 DataBar expanded

GS1 DataBar composite

GS1 datamatrix

GS1 QR Codes

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5
Q

What bar codes are strictly 1D

A

UPC A GS1 (GTIN 12)

GS1 DataBar (GTIN 14)

GS1 DataBar expanded

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6
Q

Mixed 1D and 2D databar

A

GS1 DataBar Composite

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7
Q

2D compact databar

A

GS1 Data Matrix

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8
Q

what databar is not yet approved for use in product automated ID

A

GS1 QR codes

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9
Q

what does Bar coding bring efficiency and transparency to

A

retailers

manufacturers

suppliers

consumers

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10
Q

what parts of the medication use system are enhanced by bar coding

A

Dispensing and administration

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11
Q

Why bring automation to healthcare

A

to reduce medical error

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12
Q

where do errors occur the most in the medication use system (order)

A

Prescribing > Administering > transcribing > Dispensing

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13
Q

Top 3 types of errors

A

1) wrong dose
2) wrong choice
3) wrong drug

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14
Q

What are the two types of human errors

A

Slips and mistakes

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15
Q

define slips

A

an action that is either forgotten or the action is performed using an incorrect product or on the wrong target

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16
Q

These are examples of what:

choosing the wrong medication by not reading a label carefully, choosing a wrong patient, or omitting a scheduled dose.

A

slips

17
Q

define msitakes

A

an error in execution where a human is generally alert, but consciously chooses the wrong action in the incorrect manner

18
Q

these are examples of what:

calculation mistake, incorrectly setting a pump rate, selecting an incorrect medication, choosing incorrect information to apply to the clinical situation.

A

mistakes

19
Q

Goal of automation

A

reduce errors

20
Q

at what stages does automation seek to reduce errors

A

at the pints of prescribing tanscribring dispensing and administration that are related to SYSTEM issues, through the use of infromation technology and automation

21
Q

Role of automated support

A

routine medication process tasks can be best supported by carefully-planned automated support

  • reduces potential for inadvertent human error
  • maximizes opportunity for patient focused care
22
Q

incorporating automation and bar code scanning at inventory, medication repackaging, dispensing, compounding, and drug distribution effectively: (4)

A

reduce reliance on memory

improves communication

improves access to information

improves productivity and team work

23
Q

shared belief on automation

A

importance of medication automation for improving medication safety

24
Q

Medication product chain

A

pharmaceutical manufacterer

warehouse and shipping

HC contracting and purchasing

institutional or retail inventory storage

pharmacy compounding

pharmacy dispensing

pateitn care area storage of bulk or individual therapies

drug/dose selection

dose administration to patient

25
Q

pharmacy has to ensure safe efficient and effective delivery of medication therapy
- what stages: 6

A

Medication re-packaging / pre-packaging to unit of use / unit dose packages from the original manufacturer’s bulk product

sterile and nonsterile medication compounding

medication dispensing

medication distribution from the pharmacy to designated patient care areas

restocking of a medication storage area on the patient care unit

medication dispensing of the Rx to a consumer

26
Q

Medication automation systems: (5)

A

automated pharmacy inventory management/ vertical carousel technology

automated packagers

Robotics

automated medication cabinet

smart infusion devices

27
Q

automated pharmacy inventory management/ vertical carousel technology
(4 adv)

A
  • better controlled and tracked,
  • improving space utilization,
  • inform where a product,
  • reduce walking and searching
28
Q

Automated packagers

A

repackage and label bulk supplies of medications into patient specific unit doses of medications

29
Q

robotics (4 uses)

A

pharmacy inventory

repackaging

fast and accurate medication dispensing

returning drug stock to inventory for unused unit of use medications

30
Q

Automated medication cabinet

-7 benefits

A

increase authorized access to both medications and patient info

improve medication security

improve medication trunaround time

increased productivity

medication accuracy and safety

improvement in patient care

improvement in drug use management and inventory

31
Q

Smart infusion devices

- combined with bar coding

A

provide automated ID options for pump programming (including the GS1 datamatrix bar code)
-significantly enhance safety features of these devices

32
Q

Smart infusion Devices

-bar code ID of user and patient

A

smart infusion device may reduce error potential to administer the wrong drug/ rate/patient and can also auto-ID the care provider as well as auto-ID the patient

33
Q

Canadian drivers for medication bar coding -who regulates DIN

  • DIN is unique to what
  • what is not included in DIN
  • Canada health infoway designated what as CAS
  • 2 others
A

In canada while the DIN is regulated by HC and designated to a pharmaceutical product:

the DIN is uique to the API, str, unit of measure, dsg form, and manufacturer BUT

DIN does not reflect package sizze

Canada health infoway designated GS1 GTIN as Canadian Approved Standard (CAS) for uniquely ID’ing pharmaceuticals throughout ea stage of the medication use process

Canadian Pharmaceutical Bar Coding Project (ISMP)

Canada Vaccine Bar coding initiative (PHAC)

34
Q

Canadian vaccine Bar coding initiative (PHAC)

  • when work begin
  • what types of bar codes (primary package and secondary package and case level package)
A

see slide 28 for parts of bar code

work began around 2007

80% vaccine prods as of 2018 have

  • 2D bar codes on primary packaging
  • 2D linear bar codes on secondary package
  • GS1-128 bar code on the case level package
35
Q

Why not bar code and automation everywhere (8)

A

infrastructure considerations

workflow process considerations

selection of bar code symbology

hardware decisions

employee ID badges/Patient ID badges

staff resistance
-need health technology assessment (HTA)
- evaluate: 
\+evidence (efficacy
\+economics (cost effectiveness)
\+ ethical issues (patient preference)

Pharm 151 - self inflicted lobotomy (8 decks)

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