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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Guidelines for Nursing Documentation II01:26

Guidelines for Nursing Documentation II

Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

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Related Experiment Video

Updated: Jul 6, 2026

Use of an Integrated Low-Flow Anesthetic Vaporizer, Ventilator, and Physiological Monitoring System for Rodents
06:57

Use of an Integrated Low-Flow Anesthetic Vaporizer, Ventilator, and Physiological Monitoring System for Rodents

Published on: July 9, 2020

Bar-code medication administration system for anesthetics: effects on documentation and billing.

Agatha L Nolen1, W Dyer Rodes

  • 1Hospital Corporation of America, Corporate Offices, Nashville, TN 37203, USA. agatha.nolen@hcahealthcare.com

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|March 25, 2008
PubMed
Summary

Implementing a bar-code medication administration (BCMA) system for anesthetics significantly boosted documented drug quantity by 21.7% and revenue by 18.8%. Anesthesiologists voluntarily adopted this technology, demonstrating its value in cardiac surgery documentation.

Related Experiment Videos

Last Updated: Jul 6, 2026

Use of an Integrated Low-Flow Anesthetic Vaporizer, Ventilator, and Physiological Monitoring System for Rodents
06:57

Use of an Integrated Low-Flow Anesthetic Vaporizer, Ventilator, and Physiological Monitoring System for Rodents

Published on: July 9, 2020

Area of Science:

  • Anesthesiology
  • Health Informatics
  • Pharmacy Practice

Background:

  • Accurate medication administration documentation is critical in perioperative care.
  • Manual documentation processes can lead to errors and revenue loss.
  • Automated systems offer potential improvements in efficiency and accuracy.

Purpose of the Study:

  • To evaluate the impact of a bar-code medication administration (BCMA) system on anesthetic drug documentation.
  • To assess changes in drug quantity, revenue capture, and processing time.
  • To determine the voluntary adoption rate of the BCMA system by anesthesiologists.

Main Methods:

  • A bar-code medication administration (BCMA) system was implemented for anesthetics in cardiac surgery patients.
  • Drug claims data were analyzed for quantity and revenue, comparing BCMA use (870 cases) with manual documentation (961 cases).
  • Processing time for anesthesia records was measured before and after BCMA implementation.

Main Results:

  • The BCMA system increased documented drug quantity by 21.7% and drug revenue by 18.8% per case.
  • Operating room pharmacy staff processing time for anesthesia records decreased by 8 minutes per case.
  • Anesthesiologists achieved 100% voluntary use of the BCMA system within two years.

Conclusions:

  • Implementing a BCMA system for anesthetic use in cardiac surgery enhances drug documentation and revenue capture.
  • The system's efficiency gains and positive impact on revenue led to widespread voluntary adoption by anesthesiologists.
  • BCMA technology represents a valuable advancement in perioperative medication management and financial reconciliation.