Scanning for Safety: An Integrated Approach to Improved Bar-Code Medication AdministrationEARLY, CYNDE BSN, RN; RIHA, CHRIS MS, CCE; MARTIN, JENNIFER MSN, RN; LOWDON, KAREN W. RPh, MSHA, FACHE; HARVEY, ELLEN M. MN, RN, CCRN, CNSCIN: Computers, Informatics, Nursing: March 2011 - Volume 29 - Issue 3 - pp 157-164 doi: 10.1097/NCN.0b013e3181fc416d Continuing Education Abstract Author Information This is a review of lessons learned in the postimplementation evaluation of a bar-code medication administration technology implemented at a major tertiary-care hospital in 2001. In 2006, with a bar-code medication administration scan compliance rate of 82%, a near-miss sentinel event prompted review of this technology as part of an institutional recommitment to a "culture of safety." Multifaceted problems with bar-code medication administration created an environment of circumventing safeguards as demonstrated by an increase in manual overrides to ensure timely medication administration. A multiprofessional team composed of nursing, pharmacy, human resources, quality, and technical services formalized. Each step in the bar-code medication administration process was reviewed. Technology, process, and educational solutions were identified and implemented systematically. Overall compliance with bar-code medication administration rose from 82% to 97%, which resulted in a calculated cost avoidance of more than $2.8 million during this time frame of the project. Author Affiliations: Carilion Roanoke Memorial Hospital (Mss Early, Martin, Lowdon, and Harvey); and Carilion Technology Services (Ms Riha), Roanoke, VA. Disclaimer: Authors declare no conflict of interest. Corresponding author: Cynde Early, BSN, RN, Nursing Administration, Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 (email@example.com). © 2011 Lippincott Williams & Wilkins, Inc.