Quality-monitoring program for bar-code-assisted medication administration

Mims, Elizabeth; Tucker, Chris; Carlson, Russ; Schneider, R.; Bagby, Jonathan

doi:10.2146/ajhp080172

Cited by 21 publications

(11 citation statements)

References 1 publication

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“…Using medications safely is a Joint Commission National Patient Safety Goal [11] and using assistive technologies in conjunction with e-MAR to track medications from order to administration is a requirement for hospitals to meet Stage 2 Meaningful Use of health care information technology [12]. Despite these important safety benefits and incentives for e-MAR use, there are reports of clinicians not using the barcode system or finding workarounds due, in part, to difficult to maneuver computers on wheels, barcode scanners that often require multiple scans, and devices that require clinicians to repeatedly identify themselves (login) and their patients [13]. Innovations in mobile technology may overcome some of these challenges and make e-MAR more efficient.…”

Section: Introductionmentioning

confidence: 99%

Efficiency and Usability of a Near Field Communication-Enabled Tablet for Medication Administration

Landman¹,

Neri²,

Robertson³

et al. 2014

JMIR mHealth uHealth

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BackgroundBarcode-based technology coupled with the electronic medication administration record (e-MAR) reduces medication errors and potential adverse drug events (ADEs). However, many current barcode-enabled medication administration (BCMA) systems are difficult to maneuver and often require multiple barcode scans. We developed a prototype, next generation near field communication-enabled medication administration (NFCMA) system using a tablet.ObjectiveWe compared the efficiency and usability of the prototype NFCMA system with the traditional BCMA system.MethodsWe used a mixed-methods design using a randomized observational cross-over study, a survey, and one-on-one interviews to compare the prototype NFCMA system with a traditional BCMA system. The study took place at an academic medical simulation center. Twenty nurses with BCMA experience participated in two simulated patient medication administration scenarios: one using the BCMA system, and the other using the prototype NFCMA system. We collected overall scenario completion time and number of medication scanning attempts per scenario, and compared those using paired t tests. We also collected participant feedback on the prototype NFCMA system using the modified International Business Machines (IBM) Post-Study System Usability Questionnaire (PSSUQ) and a semistructured interview. We performed descriptive statistics on participant characteristics and responses to the IBM PSSUQ. Interview data was analyzed using content analysis with a qualitative description approach to review and categorize feedback from participants.ResultsMean total time to complete the scenarios using the NFCMA and the BCMA systems was 202 seconds and 182 seconds, respectively (P=.09). Mean scan attempts with the NFCMA was 7.6 attempts compared with 6.5 attempts with the BCMA system (P=.12). In the usability survey, 95% (19/20) of participants agreed that the prototype NFCMA system was easy to use and easy to learn, with a pleasant interface. Participants expressed interest in using the NFCMA tablet in the hospital; suggestions focused on implementation issues, such as storage of the mobile devices and infection control methods.ConclusionsThe NFCMA system had similar efficiency to the BCMA system in a simulated scenario. The prototype NFCMA system was well received by nurses and offers promise to improve nurse medication administration efficiency.

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Section: Introductionmentioning

confidence: 99%

Efficiency and Usability of a Near Field Communication-Enabled Tablet for Medication Administration

Landman¹,

Neri²,

Robertson³

et al. 2014

JMIR mHealth uHealth

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“…2,3,[7][8][9] Appropriately optimizing ADMs to place the most commonly ordered medications on the fl oor can decrease the burden of missing doses signifi cantly. Ideally, the ADMs should be set with appropriate maximum and minimum levels and the amount of expired medications should be minimized.…”

Section: Recommendationsmentioning

confidence: 99%

Missing Doses: A System at Fault

O'Neil

Sautman

Hatfield³

2014

Hosp Pharm

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“…8 The nurse may encounter potential problems with using barcode technology, including poor quality of print on the label or wristband, lack of barcodes on some medications, 9 malfunctioning scanners, or providing care in an emergency situation when the time for BCMA is deemed an unnecessary delay. In general, to administer medications using a BCMA system, the nurse scans the patient's wristband barcode and then the medication barcode.…”

Section: Errors In the Medication Administration Processmentioning

confidence: 99%

Barcode Medication Administration Work-Arounds

Voshall

Piscotty

Lawrence

et al. 2013

JONA: The Journal of Nursing Administration

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Safe medication administration is necessary to ensure quality healthcare. Barcode medication administration systems were developed to reduce drug administration errors and the related costs and improve patient safety. Work-arounds created by nurses in the execution of the required processes can lead to unintended consequences, including errors. This article provides a systematic review of the literature associated with barcoded medication administration and work-arounds and suggests interventions that should be adopted by nurse executives to ensure medication safety.

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Quality-monitoring program for bar-code-assisted medication administration

Abstract: A quality-monitoring program that identified and provided best-practice recommendations corrected problems associated with using a BCMA system and improved bar-code labeling processes.

Cited by 21 publications

References 1 publication

Efficiency and Usability of a Near Field Communication-Enabled Tablet for Medication Administration

Efficiency and Usability of a Near Field Communication-Enabled Tablet for Medication Administration

Missing Doses: A System at Fault

Barcode Medication Administration Work-Arounds

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