Leading Speaker for Nursing Conferences 2019- Tripti Nanda

Title: Preventing medication error by using Technology

Tripti Nanda

Noble Hospital, Pune, India

Biography

Have been into the nursing profession since last 17 years. Have worked as a Registered Nurse in India and USA in the critical care Department. Was associated with Harvard group of teaching Hospital, USA as Registered Nurse. Has been into the Nursing administration since last 8 years. Completed Masters in Nursing, Diploma course in Cardio-Vascular and Thoracic Nursing, Diabetic Educator etc. Achieved academic excellence and Gold medal being topper at the university level for both graduation and post-graduation level. Received many accolades in various professional competition. Have been active member in Critical Care Nursing Society and TNAI. Have contributed in various research in National level. Actively participates in the various conferences as speaker in local, regional, national and international level. Passionate in Research, knowledge exchange, advance technology and administration.  Love to be a “Change agent” in order to uplift the patient care standards.

Abstract

Many lives and billions of healthcare dollars are lost each year due to preventable medication errors. The multiple steps in the medication chain, from prescription to administration, leads to significant scope for error. Technology can substantially strengthen the multiple weak links exists in the Medication management process.
Health information technology has been identified as a method to reduce medication errors as well as improve the efficiency and quality of care. CIMS integrated modules can be useful by providing real time interactivity and intervention checks at the time of prescription. Computerized physician order entry (CPOE) and clinical decision support systems (CDS) can play a crucial role in decreasing errors in the ordering stage of the medication by ensuring completeness and legibility of orders, alerting physicians to medication allergies and drug interactions and providing a means for standardization of practice. Automated Dispensing Machine (ADM) allow medications to be stored on nursing units and be retrieved quickly and conveniently. It ensures  medication availability, increasing the efficiency of drug dispensing and billing, and increasing time for patient care.  Robots may be employed to automate this stage of the medication use process by performing simple, routine tasks including recognizing medications using bar codes. The use of barcode technology medication administration process (BCMA) has been identified as a way of improving the administration phase of medication use by confirming a patient's medication at bedside to ensure the five rights of medication administration. Upon admission to the hospital, all patients are given a barcode wristband. Before administration of a medication, the nurse scans both the armband and a barcode on the medication. The BCMA technology confirms that the nurse is administering the medication correctly to the correct patient. If the medication or patient is incorrect, the nurse is notified, giving him or her a chance to correct the error prior to giving the medication. Electronic surveillance, reminders and alerts identify patients susceptible to an adverse event, communicate critical changes in a patient’s condition, and facilitate timely and appropriate treatment. The electronic Medication Administration Record (eMAR) software has revolutionized patient care, rapidly replacing the use of paper MARs throughout the long-term care industry. Where paper MARs are time-consuming, inefficient and prone to human error, electronic MARs are designed to simplify the medication administration process, helping nurses to confidently and efficiently administer medication.  It perform cumulative dose checking such as chemotherapeutic agents or narcotics administered Systems integration and compliance are vital components in the implementation of health information technology and achievement of a safe medication use process. IV smart pumps have built-in drug libraries and a Dose Error Reduction System (DERS), which allows the user to choose the desired medication from an approved list and input the required patient information, after which the IV smart pump calculates the infusion rate. DERS alerts the user if the calculated infusion rate exceeds normally acceptable dosing limits.