Preview

Pros And Cons Of Electronically Charting Medications

Better Essays
Open Document
Open Document
1716 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Pros And Cons Of Electronically Charting Medications
Jimi Denae Anderson
Ms. Leigh Bancroft
English Comp
April 24, 2013

Is Electronically Charting Medications a Good Idea?
Medication errors are reaching dangerous levels in Long Term Care Facilities and technology can help to alleviate this problem. Is there a better and more effective way of charting medications for distributing medications to help the med-pass run more efficiently? The med-pass is the process of distributing medications to an individual in a long-term care facility or other medical type setting. Incorporating Bar Code Technology, which implements electronic charting is a more accurate and more thorough way to document medications given. The use of Bar Code Medication Administration Technology will decrease the amount
…show more content…
These were voluntary reports, so the number of medication errors that actually occur is thought to be much higher. There is no "typical" medication error, and health professionals, patients’, and their families are all involved. Some examples are:
A physician ordered a 260-milligram preparation of Taxol for a patient, but the pharmacist accidentally prepared 260 milligrams of Taxotere instead. They are both chemotherapy drugs but are used for different types of cancer and with different recommended doses. The patient died several days later, though it could not be proven to be caused by the error because the patient was already severely ill.
Another example of improper medication use is when an older patient with rheumatoid arthritis died after receiving an overdose of methotrexate, as he was given-a 10-milligram daily dose of the drug rather than the intended 10-milligram weekly dose. Some dosing mix-ups have occurred because daily dosing of methotrexate is typically used to treat people with cancer, while low weekly doses of the drug have been prescribed for other conditions, such as arthritis, asthma, and inflammatory bowel
…show more content…
Each drug in the facility is labeled with a unique bar code. When a patient is prescribed medication, it is faxed, sent electronically or hand delivered to the facility’s pharmacy and entered into a computer system by a pharmacist. The pharmacist dispenses the barcoded dose of the drug and delivers the medication to the facility. When it 's time for the clinician to administer the medication, he uses a hand-held device to scan the bar codes on his identification badge, the patient 's wristband and the drug. If the system cannot match the drug to be given with the order in the system, it alerts the clinician with a visual warning. Passing medications is a time consuming and tedious task and organization and efficiency is vital. If there is a way to improve the system it should be explored. Humans err while there is less chance of computer error so I think this system is worth looking in to. There are many advantages at first

You May Also Find These Documents Helpful

  • Powerful Essays

    Instead of such safeguards, hospitals, like St. Mary's, are putting increasing faith in what are known as bar code computerized medication administration (BCMA) systems, which nurses use to scan bar codes on drugs and on patients' ID wristbands. This supposedly prevents nurses from giving the wrong patient the wrong drug, or administering the wrong dose, at the wrong time, through the wrong route.…

    • 1513 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Nt1330 Unit 3 Assignment

    • 1157 Words
    • 5 Pages

    The device or system supporter has many functions, these function are to allow the clinician to be have portable access to health information about a patient. This device can cover safety about medication administration, and for billing purposes. Most hospitals use them today and the hospital bracelets are tagged with a bar code on them. Hospitals and other organization need to consider the challenges that may be faced using this kind of device; the hospital must already have a COPE system installed. Having the COPE system already installed means that the medication information would not need to be entered manually. The COPE system would take care of most of the medication business for the clinicians (LaTour, Eichenwald-Maki, & Amatayakul, 2011).The device also depends on the ability to detect barcodes of medication bottles (LaTour, Eichenwald-Maki, & Amatayakul, 2011).The bar codes must also be present on the medication bottles in order to receive data on the dosages or calculations (LaTour, Eichenwald-Maki, & Amatayakul, 2011).In fact, the FDA has required that all medication bottles have bar codes on the bottle. Having the barcodes on the bottle, will give the clinician information about the drug. Use of this device can be a big challenge for smaller hospitals because purchasing drugs by unit is very expensive (LaTour, Eichenwald-Maki, & Amatayakul, 2011).Lastly, not all drugs are easy to scan the barcode. For example, multiple IV bags that may be used in intensive care, are difficult to scan by unit (LaTour, Eichenwald-Maki, & Amatayakul, 2011).Another challenge may include the names of the drugs; they may not be the same has the names in the pharmacy (LaTour, Eichenwald-Maki, & Amatayakul, 2011).This is a problem because the pharmacy uses a system that brings up the drug name, serial number, and manufacturer for example (LaTour, Eichenwald-Maki,…

    • 1157 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Nut1 Task 2

    • 1684 Words
    • 7 Pages

    Electronic medication administration records (MAR) are useful in displaying medications due at specific times. Not only is it possible to sort the medications due at one time, the MAR will also alert the nurse to potential drug interactions. Late medications will be displayed in red to be easily seen. If bar coding is implemented, medication errors can be reduced by a range of 60%-97% (Hunter, 2011).…

    • 1684 Words
    • 7 Pages
    Better Essays
  • Good Essays

    These errors include a physician prescribing a medication that has a negative reaction with another medication that a patient is currently taking. Another error is causes by pharmacist dispensing the wrong medication because they could not properly read the handwriting on a prescription, or prescribing a dose that is too high for the patient’s current age or condition. Majority of the problems responsible for medication errors can be solved with e-prescribing. Once a physician prescribes a medication the e-prescribing system automatically checks for conflicting medications, patient allergies and other conflicts, by using the patient’s medical history as well as current and past medications list. The e-prescribing system will then notify the physician as to what is has found and why that medication cannot be safely prescribed to that specific patient. This allows the physician to explore other medication…

    • 512 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    A BCMA-eMAR system can only work effectively only when everything is done the way it should be done. For medication error to be effectively reduced while using BCMA-eMAR systems, it must be used correctly at the point-of-care of the patient (Gann, 2015). Many nurses try to work around the system such as making copies of the bar-code and storing them in the medication cart for ease of scanning, proceeding to give medication to patients because the barcodes would not scan, getting out the medication and not giving to the patient promptly and already documented as given, the bar-code scanner would not work and other similar issues (Rack et al.,2011). Education of the nurse must be a continuous process to ensure that the best is gotten out of…

    • 441 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The computerized databases in a pharmacy collect a host of patient information including the patient’s address, the patient’s name, the date it was filled, the place it was filled, the patient’s gender and age, the prescribing physician, what drug was prescribed, the dosage, and how many pills.…

    • 1067 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Bcma Research Papers

    • 212 Words
    • 1 Page

    Administration (BCMA) in acute care and long-term care settings. Background: Medication errors are the most commonly documented cause of adverse events in hospital settings. Scanning of bar codes to verify patient and medication information may reduce medication errors. Method: A prospective ethnographic study was conducted using targeted observation. Fifteen acute care and 13 long-term care nurses were directly observed during medication administration at small, medium, and large Veterans Administration hospitals to detect workaround strategies. Results: Noncompliance with recommended practices was observed in all settings and facilities. A larger proportion of acute care nurses than long-term care nurses scanned bar-coded wristbands to identify…

    • 212 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Most of the medication errors in prescription occur due to unclear handwriting, illegible faxes, or misinterpreted abbreviations. E-prescription allows a physician, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorization to a pharmacy. This feature eliminates the need of handwritten prescription or sending faxes for a prescription. It also reduces the chance of miscommunication, as the prescription is sent directly to the pharmacy. In addition, e-prescribing removes the guesswork by prompting prescribers to completely fill out the dose, route, strength and frequency and providing drop-down lists of the most common information. With e-prescribing, physicians can track how many controlled…

    • 143 Words
    • 1 Page
    Good Essays
  • Better Essays

    Before, the nurse had to take the paper script, write the information in the patient’s chart, double-check insurance coverage, look up their preferred pharmacy, call in the script to the pharmacy and then document that she had called it in. Now, she pulls up the patient in the system, enters the prescription, and hits send. EPrescribing checks and documents…

    • 2571 Words
    • 11 Pages
    Better Essays
  • Good Essays

    Bar Code Medication Error

    • 408 Words
    • 2 Pages

    Errors made while administering medications are one of the most common patient safety, health care errors reported. It is estimated that 7,000 hospitals deaths yearly are attributed to medication administration errors, and each error can cost a health care organization over $8000 per occurrence. (Anderson & Townsend, 2015. p.18). Nurses spend a significant amount of time managing, preparing, and administering medications. Nurses can spend up to forty percent of their day, involved in tasks that center around medication administration (Bourbonnais & Caswell, 2014). Over the past few years, there has been an incredible amount of new technology introduced in health care that affect medication administration. Electronic health records, computerized order entry, smart pumps, and bar-code medication charting all add complexity to the task of medication administration. Bar-code medication administration (BCMA) is one safety measure that can be implemented that can reduce medication administration safety errors and adverse…

    • 408 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Fran Turisco is research principal and Jared Rhoads is a senior research analyst at CSC’s Emerging Practices, the applied research arm of CSC’s Global HealthCare Sector. CSC is a global consulting, systems integration, and outsourcing company based in Falls Church, Virginia.…

    • 12176 Words
    • 49 Pages
    Satisfactory Essays
  • Powerful Essays

    Utilizing bar code scanning for caregivers also accurately captures user information for charting, charging and provides an effective audit trail. When the caregiver scans the patients bar coded wristband, the caregiver has real-time access to the patient’s orders and can view what currently needs to be done for the patient. When the caregiver then scans an item or medication, the scanned bar code is compared with the order profile. If it does not match the caregiver is alerted to the discrepancy, and a potential error is averted (Council., 2003).…

    • 1249 Words
    • 5 Pages
    Powerful Essays
  • Satisfactory Essays

    As mentioned above, different strategies have been implemented to prevent the unfavorable effects of medical errors, particularly mistakes in medication administration. Because of medication errors, the patients’ mortality went up, which costs the U.S. healthcare systems billions of dollars yearly. It was also reported that every year, there are approximately 450 000 unfavorable medication circumstances of which 25 percent could have been prevented, that caused an injury to the patient. Therefore, other than the CDSS/CPOE implementation, the following systems were being used to aid in the improvement of the medication administration efficiency: intravenous infusion pumps with preprogrammed drug information, barcode-assisted medication administration…

    • 357 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The use of two patient identifiers to verify that the correct medicine and/or treatment is being given to the correct patient is the first National Patient Safety Goal of 2016. In an acute care setting, nurses implement this during medication administration by scanning patient identification bracelets and confirming the patient’s name and date of birth verbally.…

    • 367 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Electronic Prescription

    • 841 Words
    • 4 Pages

    Mentioned that the use of Electron Prescribing technology has taken over hand-written drug treatments order. Most pharmacies, use online, real-time transactions to verify coverage eligibility, transmitting claims to payers and determine the copayments and deductibles. E-prescribing is used by clinicians to safely and efficiently manage patient's medications compared to paper prescription scripts. Electronic order improves patient safety and medication compliance. It also monitors the accuracy and efficiency as well as reducing the health care costs. The electronic prescription has cut down on medication errors. Investing in Electronic prescribing technology reduces the incidence of drug diversion because the system alerts the providers and pharmacists of duplicate prescriptions for controlled…

    • 841 Words
    • 4 Pages
    Good Essays