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Chris Byczko



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    OS05 - Mining the Gold! (ID 6)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Health Business Process
    • Presentations: 1
    • Coordinates: 5/27/2019, 10:30 AM - 11:30 AM, Pod 7
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      OS05.01 - Improving BCMA: Closing the Loop with OMIE (ID 399)

      Chris Byczko, The Hospital for Sick Children; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives:
      This presentation demonstrates a practical framework for strategically improving scanning compliance in the closed loop medication administration process for the organizational and unit level. In June 2018, SickKids went live with a new information system and shortly there after achieved HIMSS EMRAM level 6. A criteria for achieving this level is the implementation of closed loop medication administration process (or also referred to as Barcoded Medication Administration, BCMA). BCMA is a proven process that helps to reduce medication and patient identification errors. A key factor for BCMA's success to improve patient safety is contingent on scanning compliance by front line staff. There currently is a lack of a conceptual framework to practically guide healthcare institutions to improve BCMA compliance after implementation of the technology.


      Methodology/Approach:
      A thematic analysis of a literature review identified four domains of strategies effective in improving BCMA compliance rates: organize, monitor, improvement, and education. These domains form the four core concepts of a conceptual framework: OMIE Framework. The OMIE Framework serves to guide the improvement of BCMA compliance at both the organizational and unit level. Utilizing the OMIE Framework, practical BCMA improvement strategies were developed for use at the unit-level. The Model for Improvement was then utilized to initiate a BCMA compliance quality improvement project on an in-patient unit. This quality improvement project helped to evaluate the usability of the OMIE Framework as a guide to improve BCMA compliance and assess the effectiveness of the corresponding BCMA improvement strategies. Further, to explore clinical leadership and bedside nurses? perception of the OMIE Framework and unit-level BCMA improvement strategies, open-ended questions were used during informal sessions to gather feedback.


      Finding/Results:
      A thematic analysis of a literature review identified four domains of strategies effective in improving BCMA compliance rates: organize, monitor, improvement, and education. These domains form the four core concepts of a conceptual framework: OMIE Framework. The OMIE Framework serves to guide the improvement of BCMA compliance at both the organizational and unit level. Utilizing the OMIE Framework, practical BCMA improvement strategies were developed for use at the unit-level. The Model for Improvement was then utilized to initiate a BCMA compliance quality improvement project on an in-patient unit. This quality improvement project helped to evaluate the usability of the OMIE Framework as a guide to improve BCMA compliance and assess the effectiveness of the corresponding BCMA improvement strategies. Further, to explore clinical leadership and bedside nurses? perception of the OMIE Framework and unit-level BCMA improvement strategies, open-ended questions were used during informal sessions to gather feedback.


      Conclusion/Implications/Recommendations:
      The OMIE Framework is an effective and useful conceptual framework to practically guide hospital initiatives in improving BCMA compliance rates. Utilizing the OMIE Framework to derive unit-level BCMA improvement strategies demonstrated effectiveness in increasing BCMA compliance rates at both the organization and unit level. Healthcare facilities can consider the use of the OMIE Framework as a conceptual framework to improve BCMA compliance rates on their journey to enhancing patient safety. Further exploration of contextual factors that hinder or enable implementation of BCMA improvement strategies is needed.


      140 Character Summary:
      A practical framework for improving scanning compliance in the closed loop medication administration process for the organizational and unit level.

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