Purpose
To measure the effects associated with sequential implementation of electronic medication storage and inventory systems and product verification devices on pharmacy technical accuracy and ...rates of potential medication dispensing errors in an academic medical center.
Methods
During four 28-day periods of observation, pharmacists recorded all technical errors identified at the final visual check of pharmaceuticals prior to dispensing. Technical filling errors involving deviations from order-specific selection of product, dosage form, strength, or quantity were documented when dispensing medications using (a) a conventional unit dose (UD) drug distribution system, (b) an electronic storage and inventory system utilizing automated dispensing cabinets (ADCs) within the pharmacy, (c) ADCs combined with barcode (BC) verification, and (d) ADCs and BC verification utilized with changes in product labeling and individualized personnel training in systems application.
Results
Using a conventional UD system, the overall incidence of technical error was 0.157% (24/15,271). Following implementation of ADCs, the comparative overall incidence of technical error was 0.135% (10/7,379; P = .841). Following implementation of BC scanning, the comparative overall incidence of technical error was 0.137% (27/19,708; P = .729). Subsequent changes in product labeling and intensified staff training in the use of BC systems was associated with a decrease in the rate of technical error to 0.050% (13/26,200; P = .002).
Conclusions
Pharmacy ADCs and BC systems provide complementary effects that improve technical accuracy and reduce the incidence of potential medication dispensing errors if this technology is used with comprehensive personnel training.
Abstract Pathology specimen labeling errors occur for a variety of reasons. We investigated the use of barcode technology as a method to improve the accuracy of pathology specimen labeling and ...patient safety. We also assessed nurses’ perceptions of system quality, information quality, service quality, user satisfaction, and net benefits. Sixty‐eight perioperative nurses who work in a teaching hospital in Taiwan completed the survey. Nurses scored net benefits as highly contributing to their satisfaction, whereas system quality contributed most to dissatisfaction. Further, we analyzed pathology specimen records before and after implementing the barcode system and found that specimen management errors significantly decreased. The use of a reliable barcode system could improve specimen labeling accuracy and enhance nurses’ satisfaction with this technology.
Highlights • We model the economic benefits of 2D barcodes. • 2D barcodes with NDC, expiry, and lot data improve the accuracy of records. • Better records increase the probability of locating a ...patient during a recall. • Scanning barcodes could reduce documentation time by 36–39 s per dose. • The benefit-to-cost ratio ranges from 3.1:1 to 3.2:1.
The common baker's yeast, Saccharomyces cerevisiae, is one of the oldest domesticated organisms known, and has been exploited by our ancestors in several different applications, particularly in food ...and fermentations industries and in bioconversion and biodegradation processes. Over the years, yeast has become an excellent experimental model for biological and medical studies, thanks to its genetic tractability, well‐known physiology and fast‐doubling cycle. In the last decade, the advances in genome sequencing opened the doors to high‐throughput studies and yeast quickly has become a model system for drug discovery and mode of action. This review provides a focused overview of the achievements in the field of human medicine and pharmacology by exploiting the molecular tools available for yeast.
Efficient document management of construction projects is essential for their successful delivery. Management of documents generated in construction projects could be a challenging task due to the ...large number and the dynamically changing nature of engineering deliverables, such as drawings, specifications, schedules, progress reports, and many other items. This paper presents a barcode-assisted system that overcomes issues related to low productivity and high cost that are usually associated with management of documents. The system is expected to save time required to enter data pertaining to a wide range of documents, to improve the accuracy of the data acquisition process, and to enhance the performance and efficiency of many existing commercial Computer Document Management Systems (CDMS). It utilizes barcode technology and database management systems (DBMS) to perform its task. An example application will be presented to demonstrate the use and capabilities of the developed system.
Empowering Library Attendance System with IoT-Enabled Student ID Cards Hakim, Lutfi; Kristanto, Sepyan Purnama; Yusuf, Dianni ...
2023 International Conference on Advanced Mechatronics, Intelligent Manufacture and Industrial Automation (ICAMIMIA),
2023-Nov.-14
Conference Proceeding
In an era driven by digital transformation, the integration of Internet of Things (IoT) technology into educational institutions has become paramount for optimizing operations and enhancing user ...experiences. By enhancing traditional barcode identifiers with IoT capabilities, we create a system that not only streamlines attendance tracking but also provides real-time data, valuable user insights, and enhanced security measures. This study proposes an IoT-based library attendance system that utilizes barcode technology on student ID cards. The system aims to improve attendance tracking, optimize resource allocation, and enhance user experiences in college libraries. The hardware components of the system consist of Raspberry Pi 3 and barcode scanners, while the software system includes front-end and back-end applications. The research results demonstrate a prototype of the assembled hardware and the user interface of the software system. The proposed system offers advantages such as efficiency, real-time data, enhanced security, and improved user experiences. The IoT-based library attendance system has been successfully developed and can be used by users to record their visits to the library. The system includes features to manage program data, update user information, and generate visit reports. The system is designed to be efficient and effective for librarians in managing visits and allocating their time for other tasks.
A storage automation rebuilding scheme was proposed to enhance the space utilization and operational efficiency based on the analysis of the existing problem on traditional warehouse. The warehouse's ...re-designing & re-planning scheme was determined, and the computer management & control system based on barcode and Radio Frequency (RP) technology was introduced with the fully utilization of traditional warehouse and original equipment. The hardware and software of the system were also expounded. Finally according to the requirement of host computer management & control system, operational control technology is integrated with information management, and the operation-oriented warehouse dynamic information management system was elaborated. The research results show that the rebuilding schemes have important theoretical and realistic significance on the improvement of changing the traditional warehouses into logistics centers.
There are many problems in the sale system of food industry, so that the product information of front can not be reliable and timely delivered, and consequently, the enterprises can not allocate ...resources effectively. To solve these problems, the paper presented the distribution managemetn system oriented food industry. Taking into account fully the feasibility and convenience of the front system, introducing the barcode technology, 3G technology and SOA architecture, combining with the basic characteristics of the food industry distribution business, studying the overall logical structure of the system, developing and integrating the functional units, an effective distribution management system was established.
Mismatching of patients and specimens can lead to incorrect histopathological diagnoses. Most misidentification errors in laboratories occur during the manual pre-laboratory and laboratory phases. In ...the past few years, we have examined this vital and challenging issue in our unit and introduced appropriate procedures. Recently, we have paid special attention to the problem of specimen mix-ups in the gross examination phase and the mismatching of blocks and slides in the cutting phase.
We have focused on the reduction of the potential sources of mismatching of specimen containers, tissue blocks and slides, focusing in particular on the most critical steps which are gross cutting and preparation of microtome sections.
A 2D bar code directly printed on the labels of specimen containers, and directly printed onto cassettes and slides, is now being used; in addition, the system performs an electronic cross-check of tissue blocks and slides, which is managed by the laboratory information system.
The present system permits full sample traceability from the moment samples reach the laboratory to the issuing of the final report. Indeed, the LIS records samples, blocks and slides in real time throughout the entire procedure, as well as the operator's name, and the date and time each individual procedure is done. This facilitates later monitoring of the entire workflow.
The introduction of 2D bar code and electronic cross-checking represents a crucial step in significantly increasing the safe management of cases and improving the quality of the entire work process.
A multidisciplinary safety initiative transformed blood transfusion practices at St. Luke's Episcopal Hospital in Houston, Texas. An intense analysis of a mistransfusion using the principles of a ...Just Culture and the process of Cause Mapping identified system and human performance factors that led to the transfusion error. Multiple initiatives were implemented including technology, education and human behaviour change. The wireless technology of Pyxis Transfusion Verification by CareFusion is effective with the rapid infusion module efficient for use in critical care. Improvements in blood transfusion safety were accomplished by thoroughly evaluating the process of transfusions and by implementing wireless electronic transfusion verification technology. During the 27 months following implementation of the CareFusion Transfusion Verification there have been zero cases of transfusing mismatched blood.
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