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Moving beyond barcodes for enhanced medication safety
Without a so-called 'closed loop' system, up to 20% of hospital medication is administered incorrectly.
Errors include:
- Wrong medicine, patient, dose of time
- Wrong administration route
- Not documenting the administration
MedEye helps prevent this.
Challenges
- Double-checking high-risk medication (HRM) is time-consuming
- Errors in multi-dose sachets are difficult to detect
- Unclear what exactly needs to be checked and what has already been verified (double checks don’t always significantly improve safety)
What Does MedEye Do?
MedEye provides nurses with tools to automatically verify and document medication administration at the patient’s bedside.
This helps prevent medication errors, ensures accurate processing of updated prescriptions, and supports the safe use of multi-dose sachets significantly reducing plastic waste.
Completed Interventions at Nij Smellinghe Hospital
MedEye implementation in the departments with verification protocols
- Bed-side verification
- Risk-based checks
- Scanning barcodes for the Medication Distribution System (MDS)
- Visual AI-based checks
GDS sachets:
- Transition from combi-dose to multi-dose
- In case of discrepancies, computer vision identifies medications to be removed from pouch and verifies whether additional medications are needed to supplement pre-packaged medications
- Switching to a different type of pouch reduced plastic use by 80%
Real-Time Integration
- Integration with the hospital information system (HIS)
- Real-time visibility into the latest prescription data
- MDS robot data is used to verify what was dispensed and how much
Future Interventions at Nij Smellinghe
- Introduction of AI-driven visual verification
- Further improves medication safety
- Reduces the need for a second nurse to double-check
How does MedEye do this (in random order)
Medication Distributing System (MDS) pouches: checking content with current prescription
Non-HRM medication: visual check for correctness via computer vision scan of barcode check
Visualize what needs to be checked and of what has already been checked
Takes over double check for ready-to-use products, as well as for many parenteral products
Deployment of AI to check HRM (pump positions, walking speed etc.)
Implementation Approach
Involve all relevant staff
- Collaboration between MedEye, packaging robot operators, nurses, and others
- Pilot department testing
- Gradual roll-out after evaluation (deployment one department at a time)
Feedback & Communication
- Continuous dialogue with all stakeholders
- Newsletters
- Meetings
- Team leader and end users consultations
- End-user feedback sessions
- Building trust so users understand MedEye’s capabilities and limitation
Results at Nij Smellinghe hospital (NL)
Success was assessed by combining nurse feedback, MedEye data and hospital information system data.
Key metrics were
Medication safety
- Automated double checks for high-risk medications (HRM)
- Improved accuracy verification
Efficiency gains
- 50% reduction in time spent on medication administration
- Fewer double-checks by second nurses
- Less time needed for medication verification
- Faster MDS sachet administration via multi-dose instead of combi-dose
Environmental impact
- Multi-dose packaging has reduced plastic waste by 80%
Technical challenges
- Wi-Fi coverage
- Hardware limitations
*“Without a so-called ‘closed loop’ system, up to 20% of medication in hospitals is administered incorrectly.” Sources include: Annals of Pharmacotherapy (2013), NEJM (2010), JAMA Internal Medicine (2002), OECD Health at a Glance (2010)
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