[ANSWERED] You are participating in the customization and implementation of a barcode medication administration system. In a 500-word APA essay, analyze how the process flow will change from the current manual process

Written By: Dan Palmer, RN

You are participating in the customization and implementation of a barcode medication

You are participating in the customization and implementation of a barcode medication administration system. In a 500-word APA essay, analyze how the process flow will change from the current manual process

Module 1: Assignment

Assignment:

You are participating in the customization and implementation of a barcode medication administration system. In a 500-word APA essay, analyze how the process flow will change from the current manual process to a barcode process and identify potential problem areas and possible solutions. Additionally, include a workflow diagram (Process Flowchart) from the manual process to the barcode process.

The resources to get started on this project are in the Additional Resources for this module.

Assignment Expectations

Length: 500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

M1 Assignment UMBO –  1, 2, 4, 5

M1 Assignment PLG –3, 4, 5

M1 Assignment CLO – 1, 4

Expert Answer and Explanation

The Customization and Implementation of a Barcode Medication Administration System

Healthcare barcode solutions are vital when it comes to providing safe and quality data. Wilson et al. (2020) note that barcode solutions help track patient medication, modernize the patient admission procedure, track patient admission, and identify the hospital clients.  The barcode system can also reduce medical errors by ensuring that the nurses administer the proper medication.  The purpose of this assignment is to analyze how my organization’s flow process with the transition from the existing manual to a barcode method and identify the possible problem areas and solutions.

Analysis of The Current Process

The current process is a manual process where information is processed manually.  The majority of the activities are done manually with paper and pen.  For instance, when a patient enters the hospital, they will be admitted manually, and their names entered into the system using pen and paper (Samadbeik et al., 2017).  In the current process, the input is collected in a tray, and the responsible person is must apply and reply to the inquiries.  This type of data management can encourage medical errors, especially when the person making data entry is exhausted or tired.

For instance, the nurse at the admission point can mistype the patient’s name, leading to a medication administration error which can also breached the patient privacy if unauthorized individuals access data in the “tray” or the file cabinet.  Manual data management is tiring because it involves repeating the same process many times.  Manual data processing also takes too much space (McGonigle & Mastrian, 2017).  Hospitals applying this process need a huge scape to design file cabinets that can use to store data.  Information in manual data processing can easily be lost or damaged.  Making changes to data created by hand is hard, and this can create many inconveniences.

Diagram of the New Process

Discussion of the New Process

Healthcare professionals have been developing electronic data management systems to solve the manual data processing system’s flaws.  Barcode system that solves most of the shortcomings experienced in the manual data processing.  As seen in the diagram above, the barcode system can help a nurse determine whether the pharmacists’ medication is indeed prescribed to a specific patient, hence preventing prescription error (McGonigle & Mastrian, 2017).  If the medicine does not match the patient barcode in the diagram, the medication will return with the correct order implemented.

The barcode system can also solve space because it will store all the data on the computer hardware.  In some situations, it can store data in a cloudscape.  Barcode data processing can also improve the time where the patient can get care.  The barcode process can cause various problems in healthcare.  One of the issues is that nurses can lose creativity because electronic systems’ overdependence on perform nursing services can solve this problem by exposing nurses to constant training and education to improve their knowledge and skills (Jimenez, 2017).

Conclusion

Barcode data can improve care by reducing time for accessing care, improving quality and safety of care by reducing medical errors, and improving patient data safety.

References

Jimenez, M. (2017). Effects of Barcode Medication Administration: Literature Review. Proceedings of the Northeast Business & Economics Association. http://web.a.ebscohost.com/ehost/detail/detail?vid=0&sid=94e40e24-1d39-4b2e-b98e-1f88c6267265%40sdc-v-sessmgr01&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=134235278&db=bth

McGonigle, D., & Mastrian, K. (2017). Nursing Informatics and the Foundation of Knowledge (4th ed.). Jones & Bartlett Learning. ISBN: 978-1284121247.

Samadbeik, M., Shahrokhi, N., Saremian, M., Garavand, A., & Birjandi, M. (2017). Information processing in nursing information systems: An evaluation study from a developing country. Iranian Journal of Nursing and Midwifery Research, 22(5), 377. doi: 10.4103/ijnmr.IJNMR_201_16

Wilson, N., Jehn, M., Kisana, H., Reimer, D., Meister, D., Valentine, K., … & Clarke, H. (2020). Nurses’ perceptions of implant barcode scanning in surgical services. CIN: Computers, Informatics, Nursing, 38(3), 131-138. doi: 10.1097/CIN.0000000000000579

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Other Questions Relating to this Class:

Module 1: Discussion Question

Discussion Question 1: Choose ONE of the following:

Compare and contrast any TWO nursing terminology systems, multidisciplinary terminologies, or data element sets and explain fully. Discuss why there is a need for codification of nursing data in EHRs. Include the basic concepts of the terminologies you selected and apply these to one case example from your own organization. You can provide an example from your practice or the literature.

OR

Someone who was seen by you at the clinic for healthcare services contacts you online asking to be your Facebook friend. How should you respond to this request?

Module 2: Discussion Question

Discussion Question 1: You are the project director responsible for creating an implementation timeline that addresses the training and go-live activities for a nursing documentation system that will be implemented on 20 units and involve 350 users. Determine whether the implementation will be staggered or occur simultaneously on all units and provide your rationale.

Module 2: Assignment

Assignment:

Your healthcare organization has a history of adopting technology and information systems that are not well received or utilized by the staff. It was recently determined that a major effort will be made to acquire a new clinical solution system. In your role as informatics nurse, create an implementation plan to improve user acceptance of this new system. Review the steps of project management and create an plan that addresses each step as well as the team members, roles, and responsibilities.

Assignment Expectations

Length: 500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Module 3: Discussion Question

Discussion Question 1: As the only informatics nurse at your local community hospital your CNO relies on you to translate major developments in policy and reimbursements that have direct implications for the department and the facility. How could you defend the relationship between standardized terminology and financial reimbursements related to meaningful use?

Module 3: Assignment

Assignment:

The patient presents to your office with a Personal Health Records (PHR). Remembering, medical records and PHRs are not the same thing, complete both of the following:

1. Develop and create an educational tool (brochure, flyer pamphlet) that you can provide to your patients that address the following areas:

  • How do you access it?
  • What obstacles might you identify?
  • Frequently Asked Questions

2. Develop and create an educational tool (brochure, flyer pamphlet) for providers to understand the PHR that address the following areas:

  • How can we make sure PHR information is accurate, reliable, and complete?
  • What obstacles might patients have with control over how their health information is accessed, used, and disclosed?
  • Frequently Asked Questions
  • What advantages and disadvantages are there?
  • What does the clinician need to understand?

Assignment Expectations

Length: answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Module 4: Discussion Question

Discussion Question 1: Review your state’s HIE efforts. What can you do as a MSN to be part of improving the HIE? Are there successful examples of HIE in your state? If you cannot find anything in your state look to another state for examples. Compare and contrast your findings and post a summary of your experience.

Module 4: Assignment

Assignment:

Please submit an APA formatted paper between 1000-1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

What are the key health policy issues concerning the adoption of health information technology (HIT)? Critique the role of the MSN level nurse in the adoption process.

Assignment Expectations

Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Module 5: Discussion Question

Discussion Question 1: Critique the coverage that Medicare Part A, B, C and D provide. Explore one area in Medicare Parts A, B, C and D that EHR can benefit from and defend your answer.

Module 5: Assignment

Assignment:

Log into Practice Fusion

  1. Log into www.practicefusion.com and create an account as a student user
  2. Click on the help tab at the top and go to the meaningful use (mu) center and explore the resources available to help practices meet mu
  3. Explore the dashboard page too and see all the resources available including the templates available for clinicians & check out the specialties too

Develop a table that critiques three types of EHRs to include the following:

  • Names of systems
  • Advantages and disadvantages
  • HITECH standards
  • How it protects patient privacy
  • How it improves efficiency
  • What settings they are best used in

Write a 500 word analysis on the stages of meaningful use and how it is implemented in your place of practice.

Include a title and reference page. The assignment should have a minimum of two scholarly sources.

Assignment Expectations

Length: 500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Module 6: Discussion Question

Discussion Question 1: Compare and contrast the various ways you can access information delivering professional continuing education. Explore any relationships between technology and learning and evaluate which works best for you.

Module 6: Assignment

Assignment:

Select two diverse clinical settings; for example: ED versus ICU, PeriOp versus Med-Surg, Pediatrics versus Adults, or Sports Medicine vs. Nursing Home, etc. For your two selected clinical settings, compare and contrast the content, features, need, and value of data, information, knowledge, and decision support to clinical practitioners in those settings.

Justify the clinical elements necessary for each clinical setting and create a recommendation of necessary elements for a shared clinical system.

Make sure that you include the four expanding rings of information (EMR, warehouse, regional, NHIN/PHIN) in your analysis. Describe how the differences would alter the design or features of a clinical system. Support your statements where you claim either similarities or differences between your two settings.

Construct a justification for the shared clinical system from ethical, legal, social, and public policy viewpoints. Formulate a plan for implementation and create the necessary workflow for a successful implementation. Evaluate the role of the master’s prepared informatics nurse after implementation.

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

Assignment Expectations

Length: 1000-1500 words; must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Module 7: Discussion Question

Discussion Question 1: Analyze the role of the regulatory environment in adoption of telehealth. Defend this role or devise a different alternative.

Module 7: Assignment

Assignment:

Please submit an APA formatted paper between 1000-1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

In a review of your area of nursing practice identify one area where telehealth could be utilized. Create a proposal for its implementation identifying both the advantages and disadvantages to the healthcare consumer.

Assignment Expectations

Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Module 8: Discussion Question

Discussion Question 1: Construct a role that an informatics specialist nurse can assume in public health.  Defend your answer.

Module 8: Assignment

Assignment:

Signature Assignment Title: Information System Strategic Planning

Signature Assignment Description/Directions: Presentation

Information technology captures, stores, manages, or transmits information related to individuals or the activities of an organization.  Information systems include operational and technical systems, administrative systems for managing clients for organizations to improve their efficiency and effectiveness and financial systems for tracking revenue and managing billing systems. The use of information technology is viewed as essential in today’s industry. For this presentation, the learner will:

  • Select one organization for this assignment. List and discuss 3 or more efficiencies offered by information technology in that selected setting.
  • Compare and contrast 2 commercially available information technology systems available to the selected setting.
  • Identify and discuss 5 or more implementation considerations that the organization should consider when adopting an information technology system.
  • Explore 2 or more emerging trends in information technology that will influence service delivery in the selected sector.
  • List and discuss 3 or more considerations and leaderships’ role in driving technology decision in organizations.

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation.

Assignment Expectations

Length: 20 slides; answers must thoroughly address the questions in a clear, concise manner

Structure:  

   Title slide and reference slides in APA style. (at least 2 slides)

Discuss 3 or more efficiencies offered by information technology in that selected setting: at least 4 slides

Compare and contrast 2 commercially available information technology systems available to the selected setting: at least 2 slides

Identify and discuss 5 or more implementation considerations that the organization should consider when adopting an information technology system: at least 4 slides

Explore 2 or more emerging trends in information technology that will influence service delivery in the selected sector: at least 3 slides

List and discuss 3 or more considerations and leaderships’ role in driving technology decisions in organizations: at least 3 slides

Additionally, because a good presentation has few words on the slides include a script with the verbiage you would say when presenting; script should be a minimum of 50 words per slide.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress.

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”)

Total Point Value of Signature Assignment: 400 points

What is barcode medicine identification in pharmacy?

Barcode medicine identification in pharmacy refers to the use of barcodes to uniquely identify and track pharmaceutical products. This technology is employed to enhance the accuracy and efficiency of various pharmacy processes, including inventory management, dispensing, and patient safety.

Here’s how barcode medicine identification typically works in a pharmacy setting:

  1. Barcode Generation: Each pharmaceutical product is assigned a unique identifier, often in the form of a barcode. This identifier may contain information such as the drug name, dosage, expiration date, lot number, and other relevant details.
  2. Barcode Labeling: Barcodes are printed onto labels that are affixed to medication packaging. These labels are designed to be easily scanned by barcode readers.
  3. Inventory Management: Pharmacies use barcode scanners to efficiently manage their inventory. When new stock arrives, pharmacists or pharmacy staff can scan the barcodes to update the inventory system. This helps prevent errors associated with manual data entry and ensures that the pharmacy’s database reflects the actual stock on hand.
  4. Prescription Filling: Barcodes play a crucial role in the prescription filling process. When a pharmacist receives a prescription, they can use a barcode scanner to quickly and accurately identify the prescribed medication. This helps reduce the risk of dispensing errors, as the system can verify that the correct medication is being provided.
  5. Patient Safety: Barcode technology is also used to improve patient safety. Before dispensing medication to a patient, the pharmacy staff can scan both the prescription and the medication’s barcode to ensure that the right medication in the correct dosage is being dispensed to the right patient. This helps prevent medication errors and enhances patient safety.
  6. Regulatory Compliance: Many regulatory bodies require pharmacies to implement systems that ensure accurate tracking and identification of pharmaceuticals. Barcode medicine identification helps pharmacies comply with these regulations by providing a standardized and traceable method for managing medications.

How does barcode scanning reduce medication errors?

Barcode scanning reduces medication errors by introducing an automated and systematic method for verifying and tracking medications throughout the entire pharmaceutical process. Here’s how barcode scanning helps in reducing errors:

  1. Accurate Medication Matching: Barcode scanning ensures accurate matching between the prescription and the medication being dispensed. When a pharmacist or pharmacy technician scans the barcode on a prescription, the system can verify that the selected medication matches the prescribed drug, dosage, and other relevant details. This automated verification helps prevent errors related to manual selection.
  2. Inventory Management: Barcode scanning is used in managing and updating the pharmacy’s inventory. When new stock arrives, the barcode on each medication is scanned to update the inventory database. This helps maintain accurate records of available medications, reducing the risk of dispensing medications that are out of stock or have expired.
  3. Patient Identification: Barcodes on prescription labels and patient identification wristbands help ensure that medications are dispensed to the correct patient. By scanning both the prescription barcode and the patient’s identification, the system verifies that the right medication is being given to the right person, reducing the chances of mix-ups.
  4. Dosage Verification: Barcode scanning aids in verifying the correct dosage of a medication. The barcode on the medication packaging contains information about the dosage, allowing the system to cross-reference this with the prescribed amount and alerting the pharmacy staff if there is a discrepancy.
  5. Error Alerts and Flags: Barcode scanning systems can be programmed to generate alerts and flags for potential errors. For example, if there is a mismatch between the prescribed medication and the scanned medication, the system can notify the pharmacist, prompting a thorough review before dispensing.
  6. Reduction of Manual Entry Errors: Barcode scanning eliminates or significantly reduces the need for manual data entry. Manual entry errors, such as typographical mistakes, are common sources of medication errors. Barcode scanning minimizes these errors by automating the process of capturing and recording information.
  7. Enhanced Workflow Efficiency: Barcode scanning speeds up the medication dispensing process, making it more efficient. The quick and accurate identification of medications allows pharmacy staff to focus on other aspects of patient care and reduces the likelihood of errors caused by haste or distractions.

What is HIT in nursing informatics?

In nursing informatics, “HIT” stands for Health Information Technology. Health Information Technology refers to the use of technology, particularly information systems and electronic communication, to manage health information and improve healthcare delivery. In the context of nursing informatics, HIT plays a crucial role in enhancing the efficiency, accuracy, and quality of nursing care through the use of various technological tools and systems.

Nursing informatics involves the integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. Health Information Technology supports this integration by providing tools and systems that help nurses in tasks such as electronic health record (EHR) documentation, clinical decision support, data analysis, and communication among healthcare providers.

Key components of Health Information Technology in nursing informatics include:

  1. Electronic Health Records (EHRs): EHRs are digital versions of patients’ paper charts. They contain comprehensive and real-time information about a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results. Nurses use EHRs to document patient care, track changes in health status, and communicate with other members of the healthcare team.
  2. Clinical Decision Support Systems (CDSS): CDSS provide nurses with evidence-based information and alerts to assist in making informed decisions about patient care. These systems can help identify potential medication errors, suggest appropriate interventions, and offer guidance based on the latest clinical guidelines.
  3. Telehealth and Telemedicine: Health Information Technology facilitates the use of telehealth and telemedicine solutions, allowing nurses to remotely monitor and care for patients. This is particularly valuable for managing chronic conditions, providing follow-up care, and offering consultations without the need for a physical presence.
  4. Mobile Health (mHealth): Mobile health applications and devices enable nurses to access health information, communicate with patients, and perform various clinical tasks using smartphones and tablets. This enhances mobility and facilitates timely and efficient patient care.
  5. Health Information Exchange (HIE): HIE enables the secure sharing of patient information among different healthcare organizations, improving care coordination and reducing duplication of tests and procedures. Nurses can access relevant patient data from other healthcare providers to make well-informed decisions.

Disadvantages of barcode technology in healthcare

While barcode technology has numerous advantages in healthcare, it also has some disadvantages and challenges. Here are some of the drawbacks associated with the use of barcode technology in healthcare settings:

  1. Cost of Implementation: Implementing a barcode system requires an initial investment in hardware, software, training, and infrastructure. For some healthcare organizations, especially smaller ones with limited budgets, the cost of adopting barcode technology can be a significant barrier.
  2. Infrastructure Requirements: Barcode systems rely on a well-established and robust IT infrastructure. In healthcare settings where outdated or unreliable technology infrastructure exists, implementing and maintaining a barcode system can be challenging.
  3. Training and Adoption Issues: Healthcare staff, including nurses, pharmacists, and other professionals, need training to effectively use barcode technology. Resistance to change or lack of proper training can result in errors during the implementation phase and reduce the overall effectiveness of the system.
  4. Interoperability Challenges: Barcode systems may face interoperability challenges when different healthcare organizations use different standards or systems. This can hinder the seamless sharing of information and collaboration across institutions.
  5. Barcode Labeling Errors: While barcodes are designed to reduce errors, inaccuracies can still occur if there are issues with the barcode labeling process. If labels become damaged, unreadable, or misprinted, it can lead to scanning errors and potential patient safety concerns.
  6. Limited Information in Barcodes: The amount of information that can be encoded in a barcode is limited. In some cases, essential details such as the entire patient history or complex medical information may not be fully captured in the barcode, requiring additional systems or methods for comprehensive data access.
  7. Dependency on Technology: Barcode systems are dependent on technology, and any system failures, technical glitches, or network issues can disrupt the workflow. In critical healthcare situations, downtime or delays caused by technical problems can have serious consequences.
  8. Potential for Workarounds: In busy healthcare environments, staff may sometimes resort to workarounds to save time, bypassing certain steps in the barcode scanning process. This can compromise the integrity of the system and increase the risk of errors.
  9. Limited Use in Some Areas: Barcodes may not be suitable for certain healthcare contexts, such as imaging or diagnostics, where other technologies like radio-frequency identification (RFID) may be more appropriate.

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