Hardware and Software

n a 328 bed hospital, the administration of 25,000 doses of medication per month was streamlined through information systems. The hardware purchased was: desktop computers, mobile workstations on wheels that are thin clients, blue tooth wireless technology; access point’s communication devices, portable handheld devices (Tablet) and barcode scanners.

The proprietary software package is McKesson’s Paragon, which is integrated health care software that is a certified, electronic health record and comprehensive hospital information system, whereby clinicians can input data that is processed and functions as a communication between practitioners and departments as well as across health care disciplines and insurance companies. This is rated the #1 community HIS by KLAS in 2006-2010. The system is on a Microsoft platform.

The workflow/role for medication administration includes: the Doctor placing an order in his HP Tablet over a secure (VPN) network utilizing wireless technology (Blue Tooth & Access Point). This order flows into the ‘Pharmacy Connect’ software system through the Paragon software. Once this communication is reviewed, the pharmacist coordinates the flow of data to the automated medication dispensing cabinets (ADCs). The nurse logs into the ADC and chooses the patient, the medication for the patient and removes it from the secured locked draw. 

Prior to administration of the medication, the nurse use the barcode scanner to scan her identification badge, medication and patient’s identification badge to ensure the right route, dose, medication, time, and patient. The last right is documentation, which is done through the electronic signature.

HIPPA & privacy laws, as well as potential for viruses have eliminated the use of personal flash drives at work. Encrypted flash drives are provided to those individuals who need to give external presentations. In preparation for bedside medication administration, the institution purchased laptops, WOWs (workstation on wheels) and hand-held scanners.

The use of hardware and software technology in the healthcare environment has shown to decrease medication errors and improve the communication across providers.