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Vol 278 No 7440 p210
24 February 2007

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Report: “Coding for success — simple technology for safer patient care


Barcode all medicines and patients, DoH suggests

Report: 'Coding for success'

“Coding for success” was published last week by the Department of Health

All medicines and patients in England should be given barcodes that use the coding system developed by GS1 and which is already used for most medicines, the Department of Health has recommended.

In a report published last week on the use of autoidentification, the DoH highlights the benefits to patient safety and efficiency of barcodes and similar technologies. Adoption of these technologies could, the report argues, reduce medication errors, facilitate the retrieval of medicines in the event of a recall and prevent counterfeit medicines entering the supply chain. However, scanning a barcode or tag should not replace communication between clinicians and patients, the report emphasises.

“The GS1 system should be adopted through the health care system in England, both for manufactured products and for coding systems used within health care settings, such as patient identification codes on wristbands. … It is for the NHS and industry, working together with technology suppliers, to take up the challenge and move the agenda forwards,” the report argues.

“Most medicines already have a GS1 Global Trade Item Number (GTIN) product code on the patient pack but this needs to be on all medicines,” the report says. “Medicines not carrying codes are mostly those manufactured or repackaged in hospital laboratories and manufacturing units, highly specialised medicines, and some parallel traded products. … A simple product code following the GS1 coding standard in a barcode format would be straightforward to implement for the few manufactured items that do not currently have this.”

Coding standards should be developed and applied on a voluntary basis, the DoH believes, because regulation might restrict technological progress and the development of the requisite legislation could be a complex and time-consuming process.

Progress on the implementation of autoidentification technologies will be reviewed by the end of 2008, the DoH says.

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