I-Corps: Michelangelo

这一i-Corps项目的广泛影响/商业潜力使医生、护士和其他医护人员能够通过显著减少医疗保健环境中的用药错误数量，以更高效、更安全的方式给患者用药。一项研究计算出，1993年，这个问题在美国造成的经济损失超过20亿美元，导致更长的住院时间、收入损失和更高的保险费。更重要的是，这些错误可以追溯到7000多人死亡。消费者细分包括任何管理药物的医疗机构，包括医疗中心、学术、大城市和地区医院、外科中心、紧急护理中心、牙科和兽医办公室以及疗养院。这个i-Corps项目是对一种医疗设备的提议，旨在减少用药错误并与医院目前使用的瓶子兼容。它使用摄像头读取瓶子上打印的代码，以确定药物的安全性、禁忌症、过期、制造商召回和以前的使用情况，从而在不使用针头、注射器或标签的情况下分发包含在瓶子中的药物。它还将减少药物输送时间、药物不良反应、污染、假冒和浪费。我们的设备还包括一个后端数据库，该数据库跟踪用代码标记的药物，以提供给患者的药物记录。数据库可以更新，以防止召回、过期和以前使用的药物的交付。该设备的基础是条形码用药管理(BCMA)系统，用于给患者提供药物并管理药房的药物库存。大多数用药差错发生于使用来自不同来源的静脉注射药物，是麻醉师产生并发症的主要原因。该设备可以提高工作流程效率，并通过自动提醒麻醉师注意违禁药物和过敏、发送修改药物的提醒以及记录药物管理来提供多个安全网。该奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。

The broader impact/commercial potential of this I-Corps project allows physicians, nurses, and other healthcare personnel to give medication to their patients in a more efficient and safe manner by significantly reducing the number of medication errors made in health care settings. One study calculated the economic costs of this problem in the United States to be over $2 billion in 1993, leading to longer hospitalizations, loss of income, and higher insurance premiums. Of greater importance, these errors can be traced to over 7,000 deaths. Consumer segments include any medical institution that administers medications including medical centers, academic, major metropolitan, and regional hospitals, surgery centers, urgent care centers, dental and veterinarian offices, and nursing homes.This I-Corps project is a proposal for a medical device designed to decrease medication errors and be compatible with vials currently used in the hospital. It uses cameras to read a printed code on a vial to positively identify the medication for safety, contraindications, expiration, manufacturer recall, and previous usage to dispense medication contained inside without the use of needles, syringes, or labels. It will also decrease medication delivery times, adverse drug reactions, contamination, counterfeiting, and waste. Our device also consists of a backend database that keeps track of medications tagged with a code to provide a record of medication given to patients. The database can be updated to prevent the delivery of recalled, expired, and previously used medications. The basis of this device is a barcode medication administration (BCMA) system to give medication to patients and manage inventory of medications in pharmacies. Most medication errors occur from the use of intravenous medications from a number of different sources and are the leading cause of complications by anesthetists. This apparatus can improve workflow efficiency and provide multiple safety nets by automatically alerting the anesthetist to contraindicated medications and allergies, sending reminders for redosing medications, and documenting medication administration.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.