Patient Life Safety Meets Access Control Southern Ohio Medical Center (SOMC) in Portsmouth, Ohio pioneers a bedside Bar Code Medication Administration solution that maximizes accuracy to insure the Five Patient Rights The landmark report, To Err is Human (2000) by The Institute of Medicine, estimated that between 44,000 and 98,000 patients die each year due to preventable medical errors such as wrongful medication administration. Beyond the cost in human lives, the report estimates that the costs due to these errors is near $29 billion per year when including the expenses associated with additional care, lost income, and disability. The report compelled the healthcare industry to initiate more contemporary “Best Practices” and to utilize technology such as Bar Coding to improve patient identification. SOMC was quick to modernize their practices to address these issues and in the process, recognized that there was still room for improving efficiency and accuracy when delivering and dispensing medications. They were utilizing a 2-Cart dispensing system which included laptops on wheels (LOW’s) and pharmacy carts. The system was an improvement from previous practices, however, it was cumbersome. As technology advanced, the need to update the medication dispensing system became apparent. Doctors, nurses and administrators conferred with Information Services and Applications Manager, Dennis Ward to design a plan of action. It was determined that by incorporating “Best Practices” a cabinet should be mounted outside each patients room, to temporarily stock the medications prior to dispensing. The cabinet or wall station would be outfitted with an access controlled lock and reader. After deciding to use the Carstens WALLero 2000 wall station, Ward consulted with experts in the access control industry: Accu-Tech Corporation (distributor of voice,data & security products), SecuriCo, Inc. (access control software provider), HID (leading manufacturer of access control readers & proximity cards), and Microman (full service technology integrator) to discuss the hospital’s needs and to integrate the wall station into a system to meet those needs. Five Patient Rights Right Patient Right Medication Right Dose Right Time Right Route Hospital Overview SOMC is a 222-bed hospital in Portsmouth, Ohio, providing emergency and surgical care, as well as a wide range of other health-care services. SOMC employs 2,200 full- and part-time people, has a medical staff of more than 140 physicians and specialists, and is supported by more than 800 volunteers. Solution Equipment & Service HID Edge Reader RCI 3513 Lock Commscope 5504 Cable Extreme POE Switch Carstens WALLaroo 2000 SecuriCo Securus Web™ Software Microman • Installer & System Reseller Accu-Tech • Distributor Case Study - Southern Ohio Medical Center, Portsmouth, Ohio (2008)
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Patient Life Safety Meets
Access Control
Southern Ohio Medical Center (SOMC) in Portsmouth, Ohio pioneers a bedside Bar
Code Medication Administration solution that maximizes accuracy to insure the
Five Patient RightsThe landmark report, To Err is Human (2000) by The Institute of Medicine, estimated that between 44,000 and 98,000 patients die each year due to preventable medical errors such as wrongful medication administration. Beyond the cost in human lives, the report estimates that the costs due to these errors is near $29 billion per year when including the expenses associated with additional care, lost income, and disability. The report compelled the healthcare industry to initiate more contemporary “Best Practices” and to utilize technology such as Bar Coding to improve patient identification.
SOMC was quick to modernize their practices to address these issues and in the process, recognized that there was still room for improving efficiency and accuracy when delivering and dispensing medications. They were utilizing a 2-Cart dispensing system which included laptops on wheels (LOW’s) and pharmacy carts. The system was an improvement from previous practices, however, it was cumbersome. As technology advanced, the need to update the medication dispensing system became apparent.
Doctors, nurses and administrators conferred with Information Services and Applications Manager, Dennis Ward to design a plan of action. It was determined that by incorporating “Best Practices” a cabinet should be mounted outside each patients room, to temporarily stock the medications prior to dispensing. The cabinet or wall station would be outfitted with an access controlled lock and reader. After deciding to use the Carstens WALLero 2000 wall station, Ward consulted with experts in the access control industry: Accu-Tech Corporation (distributor of voice,data & security products), SecuriCo, Inc. (access control software provider), HID (leading manufacturer of access control readers & proximity cards), and Microman (full service technology integrator) to discuss the hospital’s needs and to integrate the wall station into a system to meet those needs.
Five Patient Rights
Right Patient
Right Medication
Right Dose
Right Time
Right Route
Hospital Overview
SOMC is a 222-bed hospital in Portsmouth, Ohio, providing emergency and surgical care, as well as a wide range of other health-care services.
SOMC employs 2,200 full- and part-time people, has a medical staff of more than 140 physicians and specialists, and is supported by more than 800 volunteers.
Solution Equipment & Service
HID Edge Reader
RCI 3513 Lock
Commscope 5504 Cable
Extreme POE Switch
Carstens WALLaroo 2000
SecuriCo Securus Web™ Software
Microman • Installer & System Reseller
Accu-Tech • Distributor
Case S
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“In hospitals across the nation, safety is at the forefront. With medication errors continuing to be the most common and harmful threat to patient safety, 3 North A embarked upon it’s journey toward BCMA (Bar Code Medication Administration). During this new medication administration process of using electronic records, bar codes, and hand-held scanners, a staff-driven decision was implemented to utilize medication wall cabinets to dispense medications. The pharmacy fills each cabinet with our patient’s medications for the day, as well as delivers new medications that have been ordered directly to the wall cabinet. This type of delivery improves workflow by reducing the amount of time it previously took nurses to go to the medication room to retrieve new medications. This also eliminated the need for medication carts, which makes for a cleaner uncluttered appearance on the unit. Attempting to maneuver both the LOW’s and a medication cart proved to be problematic. The Cartstens medication wall cabinet offered a solution. Additionally the medication cabinets lock upon closure, require a proximity badge, and offer additional work surface for staff to utilize for charting.”
Julie Irwin RN, RNC, BSNNurse ManagerSOMC
Case S
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Ward had several primary concerns regarding an access controlled wall station that needed to be addressed before developing the final solution. • Pre-testing indicated that individual power sources were not reliable enough so there needed to be a primary power source. • The wall stations needed to be centrally networked and managed, utilizing SOMC’s state of the art eMar system (Electronic Medication Administration Record).
Ward initially consulted with Accu-Tech’s Columbus, Ohio Branch Manager Matt Daugherty, to discuss these concerns. Daugherty set up a conference with HID, who referred them to SecuriCo to determine if a software solution could be designed to meet the desired requirements. “SOMC project requirements were to use both a web based software solution and an IP PoE Access Control solution”, stated Jim Andrews, President of SecuriCo, Inc. “After Dennis Ward and I reviewed the project requirements, and after discussing the design options with Accu-Tech and Microman, everyone agreed that Securus Web™ software solution, HID Global ER-40 iClass Edge Hosted Readers, and iClass 37bit 2K Customer Facility Code cards were the perfect fit to a very unique access control solution.”
SecuriCo procures the access control hardware and pre-programs the readers to SOMC’s specifications. The Securus Web™ software registers who got in, where and when, and how access is added and removed, with Human Resources oversight and authorization. The end result for SOMC is a WALLeroo 2000 that has been modified with with an HID Edge Reader, Rutherford Controls 3513 Lock, Extreme Power-Over-Ethernet Switch, and is connected to the network and power supply via Commscope 5504 Cable, all controlled by SecuriCo’s Securus Web™ software, which is ultimately managed by SOMC’s eMar System. The System is sold as original equipment and installed by Microman of Dublin, Ohio.
This innovative solution allows the pharmacy to deliver bar coded 24 hour scheduled medications to the secured wall mount station. The nursing staff, using proximity cards, accesses the station and scans both the medication (bar coded per dosage) and the patient prior to administering the scheduled medication. The solution enables protocol while enhancing accuracy and insuring the Five Patient Rights.
www.somc.orgwww.accu-tech.comwww.hidcorp.comwww.securico.comwww.microman.comwww.carstens.com
“Microman has been in the technology service industry for over twenty years and our commitment from day one has been client satisfaction. We have also strived to form solid relationships through the years partnering with organizations sharing the same unwavering commitment to our clients. That’s why when approached by Accu-Tech and SecuriCo there was no hesitation. Together we have broken new ground in the medical market providing a unique access control solution for patient safety. We will continue to explore the best technical advances in access control for medical and all other areas of commercial businesses.”
Mark PetrelleVice President IMSMicroman Integrated Media Solutions
SecuriCo is an innovative company that has been providing in-dustry leading security solutions since 1995. “We are very proud of the partnerships we have created with HID Global, Accu-Tech, Microman and SOMC. This project shows that thinking outside the box with innovative software solutions Securus Web and HID Global Edge Hosted Hardware can meet very unique and demanding applications. It is further proof that manufacturers, distributors, integrators and end users are adopting the open and non-proprietary software and hardware philosphies being deployed by SecuriCo and their partners.”
Jim AndrewsPresidentSecuriCo, Inc.
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