and data capture electronic ordering, the order must be technology transcribed between systems. Medicine Medicines are prepared in the Supply and inventory systems do not integrate preparation pharmacy with full with medicine preparation in hospital integration and audit trail pharmacies Dispensing Medicines are dispensed using Medicines are dispensed using standalone integrated barcode validation, barcode verification of the product that does not robotic dispensing and unit dose interfere with the EMM system packaging Distribution and Delivery and receipt of medicines Many hospitals do not distribution and are tracked electronically supply to the patient level supply to wards and units Administration Medicines are administered and Some hospitals use barcodes to confirm the and documented by confirming the patient’s identity and the correct medicine to be documentation patient’s identity with the patient’s administered wristband, and matching the product and unit dose using a barcode. Medicines administration is integrated with and recorded in the electronic medication management system. 4.2 Case study: St Stephen’s Hospital, Hervey Bay, Queensland St Stephen’s Hospital in Hervey Bay, Queensland, is a 96-bed hospital operated by UnitingCare Health that opened in October 2014. A digital health project was undertaken to provide a fully integrated electronic medical record in that hospital. It became the first hospital in Australia to achieve Stage 6 certification by the Healthcare Information Management Systems Society (HIMSS) for its advanced electronic medical record system.30 Process and workflow HIMSS Stage 6 certification requires closed-loop medication management. Moreover, it requires barcoding technology to be fully integrated with the clinical documentation system and computerised provider order entry to be effective. Barcoding systems implemented at St Stephen’s are in Table 4.2. Table 4.2: Clinical applications and scanning at St Stephen’s Hospital, Hervey Bay Clinical application Element Scanning Computerised Medication order sentences and integrated with CPOE provider order entry clinical decision support (CPOE)
and data capture technology electronic ordering, the order must be transcribed between systems. Medicine preparation Medicines are prepared in the pharmacy with full integration and audit trail Supply and inventory systems do not integrate with medicine preparation in hospital pharmacies Dispensing Medicines are dispensed using integrated barcode validation, robotic dispensing and unit dose packaging Medicines are dispensed using standalone barcode verification of the product that does not interfere with the EMM system Distribution and supply to wards and units Delivery and receipt of medicines are tracked electronically Many hospitals do not distribution and supply to the patient level Administration and documentation Medicines are administered and documented by confirming the patient’s identity with the patient’s wristband, and matching the product and unit dose using a barcode. Medicines administration is integrated with and recorded in the electronic medication management system. Some hospitals use barcodes to confirm the patient’s identity and the correct medicine to be administered 4.2 Case study: St Stephen’s Hospital, Hervey Bay, Queensland St Stephen’s Hospital in Hervey Bay, Queensland, is a 96-bed hospital operated by UnitingCare Health that opened in October 2014. A digital health project was undertaken to provide a fully integrated electronic medical record in that hospital. It became the first hospital in Australia to achieve Stage 6 certification by the Healthcare Information Management Systems Society (HIMSS) for its advanced electronic medical record system.30 Process and workflow HIMSS Stage 6 certification requires closed-loop medication management. Moreover, it requires barcoding technology to be fully integrated with the clinical documentation system and computerised provider order entry to be effective. Barcoding systems implemented at St Stephen’s are in Table 4.2. Table 4.2: Clinical applications and scanning at St Stephen’s Hospital, Hervey Bay Clinical application Element Scanning Computerised provider order entry (CPOE) Medication order sentences and clinical decision support integrated with CPOE