CASE STUDY:
Device Integration Improving Patient Safety A large healthcare system with a neonatal ICU (NICU) has experienced a serious patient safety error with the wrong mother’s breast milk given to a neonate. The patient safety and quality improvement (QI) department evaluates the incident, evaluates studies that address safe practices with NICU, and plans a QI project to address the event. In examining best practices nationally, they discover that bar code medication administration (BCMA) is being applied to administration of mothers expressed breast milk. The QI department solicits the expertise of the Chief Nursing Informatics Officer (CNIO). The CNIO assigns an informatics nurse specialist to the project to implement device integration at the point of care (PoC) to prevent any future errors from occurring and follow national best practices for using BCMA to administer mothers expressed breast milk to NICU infants.
Given the BCMA NICU Device Integration project noted herein, consider the following questions:
Answer only one of the 4 questions in the case study in Chapter 7.
1. How will PoC device integration prevent future errors from occurring with the wrong breast milk given to the wrong baby?
2. Why will human factors science and adoption science be important considerations for this project team?
3. Why did the quality department call in the CNIO to help with this project?
4. How will the project team need to consider integrating the data to and from the EHR through an interface for PoC BCMA, and why is this important?
