Siemens Medical Solutions announces that Kingsbrook Jewish Medical Center (KJMC) of Brooklyn, N.Y., has become the first Siemens customer in the New York area (and the second in the United States) to go live on Siemens full medication management solution with complete closed-loop processing.
KJMC joins McLeod Health of Florence, S.C., which was the first hospital in the country to fully utilize Siemens complete closed-loop medication management solution to automate the medication process from the physician's initial order all the way to the patient at the bedside. Numerous other such implementations are underway across the nation.
A long-time partner of Siemens, KJMC had been using INVISION® Computerized Physician Order Entry (CPOE) to lower medication errors on the ordering side since 1998. Now, the medical center is taking its patient safety strategy to a new level by integrating CPOE with Siemens Med Administration Checkä (MAC) application, which uses bar code technology to alert nurses to potential medication administration errors, and Siemens Pharmacy information system. The full solution uses two-way wireless interfaces among all of the applications to create a “closed loop” between medication ordering and administration, and incorporates sophisticated clinical decision support, lab results, and nursing documentation into the electronic health record.
MAC has proven to be an effective tool in the detection and prevention of medication errors and adverse drug reactions at Kingsbrook, facilitating Kingsbrook’ s provision of safe, high quality care to its patients.
According to the Agency for Healthcare Research and Quality (AHRQ), approximately 26-38 percent of medication errors occur during administration. The use of MAC is designed to reduce the risk of medication errors significantly by providing important clinical information that improves the nurse's ability to safely administer patient medications. KJMC's focus on clinical automation with CPOE and MAC supports the entire end-to-end clinical workflow, including all of the following steps:
· Placement of a medication order,
· Order confirmation and review by a pharmacist in the Pharmacy prior to dispensing the medication,
· Clinical checking and verification of the five rights of administration of medication administration at the point of care, including automatic checking for STAT orders,
· Documentation of the administration occurring as an outcome of the process,
· Automatic reminders to nurses (such as to perform a follow-up measurement on pain scales),
· Ability of nurses to log interventions, to track and resolve errors, and
· Online access to patient education information related to medication.
Dr. Linda Brady, President and CEO, KJMC, observes, "The MAC system promises to improve our documentation significantly, and is creating more cultural awareness of potential errors within our organization. We believe it will enhance communication and collaboration among the various departments facilitated by this technology because physicians, nurses and pharmacists will see the same information in the same way, further benefiting patient safety."
Adds Mary Mong, Chief Operating Officer, KJMC, "We are now able to track, quantify and analyze potential medication errors, putting us ahead of the curve in meeting JCAHO requirements."
"On the nursing unit MAC technology has improved patient safety, improved documentation of medications administered, and reflects real time charting. The nurses love the technology and find it really exciting!,” said Ruth Ford, Assistant Vice President of Nursing.
KJMC is using computers containing electronic medical records mounted on special mobile medication carts that are also equipped with wireless, bar code scanners. The bar code on each medication to be administered is scanned, and the system automatically checks the scanned medication against the medication order entered electronically by the physician. If there is a mismatch, the system immediately notifies the nurse with a visual alert.
"Our nurses have been remarkably happy with the solution. In addition to helping them reduce medication errors, MAC allows the nurses to spend more time with patients and their families, and less time on paperwork," says Nympha Meindel, R.N., Director of Information Services, KJMC. Adds Dr. Henry Cohen, Director of Pharmacy, "Our pharmacists are equally excited, since MAC supports them in moving from a purely technical role to one of true clinical consulting, by decreasing telephone calls to prescribers to clarify drug dosing regimens and illegible handwritten medication orders. It also decreases errors in medication order transcription from CPOE to the Pharmacy Computer System and decreases other work-flow interruptions, and non-value-added work."
"Kingsbrook Jewish understands how the power of information technology can facilitate patient safety and high quality healthcare. With our integrated medication management solution, they are able to provide an automated positive quality check at the point of care in the medication administration process," notes Thomas Miller, president, IT division, Siemens Medical Solutions. "Their commitment to the use of technological advances is helping to prevent medication errors before they occur." Mohamed Hebela, Chief Financial Officer, KJMC, concludes, “As hospitals face rising malpractice insurance costs and pressure to improve quality care, investment in technology like MAC that is designed to minimize errors makes a lot of sense, as ROI is achieved in both the short and the long run.”
About Kingsbrook Jewish Medical Center
Located in central Brooklyn, New York, Kingsbrook Jewish Medical Center is an 864-bed multi-specialty medical center housing a full range of diagnostic and medical treatment services. The Medical Center provides acute care, long and short-term care, as well as outpatient services to the community. Additional services include: rehabilitation medicine, traumatic brain injury, geriatric psychiatry, emergency medicine, ambulatory surgery, home health care, adult day health care, and dialysis. The organization has a proven track record in the successful implementation of technology solutions for patient safety and quality care benefits. For more information on Kingsbrook's medical services and centers of excellence, please visit www.kingsbrook.org.
Siemens Medical Solutions of Siemens AG (NYSE: SI) with headquarters in Malvern, Pennsylvania and Erlangen, Germany, is one of the largest suppliers to the healthcare industry in the world. The company is known for bringing together innovative medical technologies, healthcare information systems, management consulting, and support services, to help customers achieve tangible, sustainable, clinical and financial outcomes. Employing approximately 31,000 people worldwide and operating in more than 120 countries, Siemens Medical Solutions reported sales of 7.07 billion EUR, orders of 8.12 billion EUR and group profit of 1.05 billion EUR for fiscal 2004 (preliminary figures). More information can be obtained by visiting http://www.usa.siemens.com/medical-pressroom.