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Scanning for Safety: An Integrated Approach to Improved Bar-Code Medication Administration

EARLY, CYNDE BSN, RN; RIHA, CHRIS MS, CCE; MARTIN, JENNIFER MSN, RN; LOWDON, KAREN W. RPh, MSHA, FACHE; HARVEY, ELLEN M. MN, RN, CCRN, CNS

CIN: Computers, Informatics, Nursing:
doi: 10.1097/NCN.0b013e31821ef6c8
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Abstract

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 Information

Author Affiliations: Carilion Roanoke Memorial Hospital (Mss Early, Martin, Lowdon, and Harvey); and Carilion Technology Services (Ms Riha), Roanoke, VA.

Reprinted from Early C, Riha C, Martin J, Lowdon KW, Harvey EM. Scanning for safety: an integrated approach to improved bar-code medication administration. Comput Inform Nurs. 2011;29(3):157-164. DOI: 10.1097/NCN.0b013e3181fc416d.

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 (crearly@carilionclinic.org).

© 2011 Lippincott Williams & Wilkins, Inc.