Transcript MOBILE TECHNOLOGY LESSONS LEARNED ALONG THE WAY K Beard EdD GNP-BC NP-C ACNP-BC Hunter Bellevue School of Nursing.

MOBILE TECHNOLOGY
LESSONS LEARNED
ALONG THE WAY
K Beard EdD GNP-BC NP-C ACNP-BC
Hunter Bellevue School of Nursing
Discussion
• Impetus behind mobile technology
• Strategies used to implement mobile technology
• Lessons learned when implementing technology
Medication Use
• Any given wk - 4 out of 5 adults will use some type of
medication (prescription, OTC, dietary supplements)
• 1/3rd take 5 or more different medications
• Sometimes preventable adverse drug events (ADE)
occur in prescribing or taking the med
• As a result Institute of Medicine (IOM) studied the
prevalence of medication error
• What do you think they found?
Deadly Medical Errors
Adverse Drug Events
Injuries Due to Medication
• 450,000 preventable ADEs occur in hospitals each year
• 800,000 occur in long term care settings
• 530,000 Medicare patients experienced preventable ADEs
in outpatient settings
• Most likely to occur during the prescribing and administering
stages
• Hospital patient can expect at least one med error each day
• As a result IOM studied the prevalence of medication error
• How many individuals are injured or die every year from
medication errors?
What Can We Do??????
• 1.3 million injured from ADE 1 person dies every day
• Health care providers can’t keep up with all the
information regarding medications
• Use information technologies to reduce medication
errors
• Point of care reference information accessed from
personal digital assistants
Complex fast paced environment
threatens patient safety!!
Mobile Technology
• Mobile technology - a platform whereby nurses can
download nursing software and access information at the
point of care
• Mobile technology can
• Reduce errors
• Improve care
• Promote patient safety by increasing
accuracy and efficiency
Promoting Excellence in Clinical Practice
1. Select a reference tool for point of care access (PDA &
2.
3.
4.
5.
Software)
Have support readily available (software company)
Faculty point person
Acquire financing (cost efficient)
Educate faculty and students
Nursing Based Software
• Contained drug content
• Laboratory values
• Disease Processes
• Medical dictionary
• Required for each student entering their first medical
surgical clinical rotation
• Made it a student fee so costs covered by scholarships
or loan monies
• Replaced several textbooks (nursing care plan text,
medication drug guide, lab guide)
Evaluation of Program
• Wanted to know who was using it
• When they were using it
• What were the likes/dislikes
• Did it prevent medication errors?
Who’s using the software and when???
• 95 students completed survey
• All used a variety of platforms (PDA, smartphone)
• 96.7% used it for clinical
• 58.7% used while studying
• 46.7 used it during class
• 43.5% used it to look up information for patients
Medication Administration Feature
• Students using software to identify
• Drug indications (88.6%)
• Adverse effects of drugs (77.3%)
• Medication contraindications (69.3%)
• Generic names (64.8%)
• Dose range (27.3%)
• Dosage calculator (9.1%)
Error Reduction
• 83.7% stated software never helped prevent an error
• 16.2% reported that software prevented a clinical error
• 6.5% reported it helped on more than 3 occasions
• Error reduction was compared between levels 1 and 2
students- no significant difference
Lessons Learned
• Multidisciplinary team needed (IT support, student
•
•
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•
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financing, team leader)
Orientation before and several wks after initiation
Software that can be periodically updated
Cost saving benefit – less medication errors (Although
some students felt the cost outweighed the benefit)
Negative comments from students stemmed from lack of
modeling behavior by faculty
The importance of faculty modeling the behavior of using
the PDA is an important aspect for students’ acceptance
of the PDA/software
Questions????????
References
Institute of Medicine. (2006). Preventing Medication Errors.
Retrieved from
http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventi
ng-Medication-Errors-Quality-ChasmSeries/medicationerrorsnew.pdf
U. S. Department of Health & Human Services. Medication error
report. (2009). Retrieved from
http://www.fda.gov/Drugs/DrugSafety/MedicationErrors/ucm0806
29.htm
Beard, K. V., Greenfield, S., Morote, S., Walter, R. (2011). Mobile
technology: Lessons learned along the way. Nurse Educator
36(3), 103-106.