1 GS1 STANDARD for PATIENT SAFETY Cholatip Pongskul, MD
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3 Patient safety Magnitude Incidence Medication 1 in 10 43 Million $ 42 Billion As many as 1 in 10 Approximately 43 million Medication error cost an patients are harmed patient safety incidences estimated 42 billion USD occur every year annually whilst receiving healthcare 3
4 8 Rights of Medication Administration • Right PATIENT • Right MEDICATION • Right REASON • Right DOSE for patient weight • Right ROUTE • Right FREQUENCY • Right TIME • Right SITE 4
5 Computerized Physician Order Entry Pharmacy OPD CPOE Medicine Laboratory CPOE Laboratory Radiology CPOE Radiology Order CPOE Treatment 5
6 Right Medication, Dose, Route, Frequency By CPOE 6
7 leaflet Drug information For GS1 Digital Link standard: www.gs1.org/articles/2444/new-generation-gs1-standards-now-available) 7
Reimbursement Internal Agent Code Code Present Code GTIN Code Distribution Center Manufacture Code Distributor Code Internal Code X Digits User Manufacturer Payer Distributor / Supplier Hospital GS1 Standard Code Future Data Pool GS1 Identification keys 8
9 WHY SO MANY CODES? Code Internal code 24 Digits code GTIN TMT (SNOMED) Purposes Re-imbursement Mapping, Pharmacology and Standard Data migration Safety Re-imbursement Users Hospital Everyone Comptroller National Health Security Office General’s Department Problems Maintenance Mapping, update, Mapping, update Not every maintenance maintenance drugs False barcode 9
Inventory Interface ERP Purchase HIS Inventory Update Good Receive Transaction Receive Interface Transaction PR PO Good Receive Update Transaction Transfer Update Stock HIS Update Transaction Dispose /Issue Update Update ledger Transaction Adjust Inventory Interface Transaction (Receive/Transfer/Issue/Adjust) 10
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12 Various format of code 70%: No GTIN code Not apply for drug Registration in THAILAND 12
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15 Barcode medication administration https://healthcareitskills.com/barcode-medication-administration/ 15
16 Data matrix from GS1? 16
17 eMAR (Electronic Medication Administration Record) 17
18 Confirm the right PATIENT, MEDICATION 18
19 Leveraging GS1 for patient safety • We need true GTIN for medications and supplies • Standard format for logistic code • Automatically input (to IT system) by RFID • National drug database by THAI FDA? • GTIN • TMT • Drug information 19
Thank you! Contact Address: Cholatip Pongskul Email: cholatip@kku.ac.th
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