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Improving Bar Code Medication Administration Compliance in a Community Hospital Through a Nursing Leadership Initiative

Van Ornum, Michael, BS, RPh, RN, BCPS, CPPS

doi: 10.1097/NCQ.0000000000000320

Achieving optimal compliance for bar code medication administration (BCMA) in mature medication use systems is challenging due to the iterative system refinements over time. A nursing leadership initiative increased BCMA compliance, measured as a composite across all hospital units, from 95% to 98%, discovering unanticipated benefits and unintended consequences in the process. The methodology used provides valuable insight into effective strategies for BCMA optimization with applicability for other, similar quality improvement initiatives.

Sentara Healthcare, Charlottesville, Virginia.

Correspondence: Michael Van Ornum, BS, RPh, RN, BCPS, CPPS, 500 Martha Jefferson Drive, Charlottesville, VA 22911 (;

The author declares no conflicts of interest.

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Accepted for publication: December 1, 2017

Published ahead of print: January 9, 2018

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