Published: March 03, 2006
McKesson Spotlights National Patient Safety Awareness Week
As Nation Calls for Adoption of Technology to Make Healthcare Safer, Company Profiles Hospitals Meeting and Exceeding the Challenge
"Doctors practice 21st century medicine, they
still have 19th century filing systems," said President George W. Bush. His
recent comments reflect the nation's call for a more modern healthcare
infrastructure -- one that uses technology to create industry-wide
efficiencies and prevent errors. According to McKesson, the world's largest
healthcare services company, the information technology (IT) tools are
available today to create a safe, automated healthcare environment. The
company has joined forces with the National Patient Safety Foundation to
raise awareness of the benefits of technology and process re-engineering
during Patient Safety Awareness Week, March 5-11, 2006.
"The typical process for administering medications in a hospital provides
great opportunity for missed handoffs and errors," said Billie Waldo, M.S.,
R.N., B.C., McKesson's vice president and general manager of nursing and
medication safety solutions. "On average 30 people touch a medication
before it is administered. Imagine the complexity for a nurse who typically
administers 10 medications per patient per day, or the safety risks for a
transplant patient who might receive 36 medications in a single shift. As
healthcare leaders, we must address the technology aspects of safety while
promoting a culture of safety and addressing the process aspects of safe,
high-quality care."
Adverse drug events (ADEs) cause more than 770,000 injuries each year in
the United States and cost up to $5.6 million per hospital, according to
the Agency for Health and Research and Quality. Yet according to the
American Hospital Association, only 23% of U.S. hospitals have adopted
bar-code scanning technology -- simple technology found in most retail
outlets that has proven to be effective in preventing medication and
transfusion errors that lead to ADEs. In a sampling of nearly 115
hospitals where McKesson's
bar-code medication administration solutions are in place, clinicians scan
bar-codes on more than 129 million medications each year -- resulting in
more than 1 million weekly warnings that help to prevent 350,000 potential
errors.
In response to this industry issue, McKesson offers a medication
administration system that features bar-code technology to support the
hospital care team and protect the patient by verifying the "five rights"
of medication administration: right patient, right drug, right dose, right
route and right time. McKesson's comprehensive suite of solutions
integrates software, automation, packaging, distribution and consulting
solutions to help providers reduce medication errors at every step where
they can occur -- prescribing, transcribing, dispensing, administering and
monitoring. The bar-code technology used in McKesson's solution suite,
called the McKesson Medication Safety Advantage(SM), has been shown to
reduce medication administration errors by as much as 87%. The following
are a few examples of healthcare organizations that are ahead of the curve
in improving patient safety through technology:
John Muir Medical Center in Walnut Creek, Calif., a part of John Muir
Health, has been a leader in using bar code technology to prevent adverse
drug events since 1996. Today, the 321-bed acute care hospital bar-codes
99% of all unit-dose medications, and has achieved 99% nursing compliance
with
bar-code procedures. Medication-error and near-miss reporting increased by
39% between 2001 and 2004, while the percentage of those errors causing
patient harm (MERP categories E-I) has decreased by 33 percent. In
addition, the percentage of errors causing harm has remained below national
averages since 2003. "We saw the benefits of technology for patient safety
long ago, and technologically, we are proud to say that our patients are
among the safest in the nation," said J. Kendall Anderson, John Muir Health
President and CEO. "McKesson technology has allowed us to align our
clinical processes so that patients receive the highest quality healthcare
possible. Medication safety has helped ensure patient safety."
Methodist Medical Center in Peoria, Ill., has been at the forefront in
implementing electronic systems to reduce medical errors and improve
physician access to patient records and test results. The 353-bed facility
has not only reduced medication errors by 50% using bar-code scanning at
the bedside, but it uses technology to provide network physicians anytime,
anywhere access to information on 18,000 inpatients and more than 300,000
outpatients each year. When a medication is scanned at a patient's bedside,
it is verified against the physician order and screened for allergies,
interactions and therapeutic duplication by pharmacists using the pharmacy
system. Two of Methodist's 15 nursing units have achieved the targeted 90%
rate for medication bar code verification. For its efforts, Methodist
achieved the National Patient Safety Goals with zero violations. "Methodist
is proud to lead the way in patient safety," said Michael Bryant, Methodist
president and chief executive officer. "We are committed to delivering
outstanding healthcare, period, and patient safety is an important part of
that."
Peninsula Regional Medical Center in Salisbury, Md., set the course for
patient safety more than a decade ago, when it first implemented electronic
medical records (EMRs), the foundation for creating many levels of seamless
information technology to benefit the patient. In 1998, the hospital
implemented online patient charting. In 1999, "Rosie" the pharmacy robot
was installed. Today Rosie fills 2,600 medication doses daily representing
more than one million medications per year. Peninsula Regional also has
implemented computerized physician order entry. It allows doctors to obtain
a predetermined list of approved medications for the condition they are
treating, write their prescriptions electronically through a laptop and
send them via wireless technology directly to Peninsula Regional's
pharmacy. From there, prescriptions are checked for accuracy, verified
against the patient's medical record for potential side effects or
allergies and then filled by the Rosie for delivery to the nursing floor.
At the bedside, nurses use a handheld wireless device to scan the
medication, their own employee ID badge and the patient's armband to verify
the "five rights" of medication administration - right patient, right drug,
right dose, right route and right time. According to Peninsula Regional's
president/chief executive officer Alan Newberry, "The technology we have
put in place will support our goal of becoming one of the safest hospitals
in America."
"Hospitals are at the heart of healthcare delivery in the United States,"
said Diane Pinakiewicz, president, National Patient Safety Foundation.
"McKesson has been a leader in working with its customers to address the
technology, leadership and cultural aspects of safety. It's clear that in
organizations where there is a commitment to addressing all aspects of the
safety equation, health IT becomes a valuable enabler in reducing human
error, saving lives, saving lost time and avoiding millions of dollars in
wasted money."
Each year NPSF sponsors Patient Safety Awareness Week to encourage
hospitals to actively engage their communities in patient safety activities
and in all aspects of their healthcare. The 2006 theme, "Our Patients-Our
Partners: One Team, One Goal," emphasizes patient and family-centered care
and promotes building partnerships between providers and patients,
families, and advocates. The focus this year is on patients and providers
finding ways in which to create effective, positive partnerships in mutual
pursuit of safe patient care. More information about National Patient
Safety Awareness Week may be found at www.npsf.org.
About McKesson
McKesson Corporation, currently ranked 15th on the FORTUNE 500, is a
healthcare services and information technology company dedicated to helping
its customers deliver high-quality healthcare by reducing costs,
streamlining processes, and improving the quality and safety of patient
care. Over the course of its 173-year history, McKesson has grown by
providing pharmaceutical and medical-surgical supply management across the
spectrum of care; healthcare information technology for hospitals,
physicians, homecare, and payors; hospital and retail pharmacy automation;
and services for manufacturers and payors designed to improve outcomes for
patients. For more information: http://mpt.mckesson.com.
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