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October/December 2018, Volume 33, Issue 4;
Achieving optimal compliance for bar code medication administration (BCMA) in mature medication use systems is challenging due to the iterative system refinements over time. The author describes a nursing leadership initiative to increase BCMA compliance, measured as a composite across all hospital units. Compliance increased from 95% to 98%, but most importantly, through this initiative, leadership discovered unanticipated benefits and unintended consequences. The methodology used provides valuable insight into effective strategies for BCMA optimization with applicability for other QI initiatives. After watching the video, learn more about the initiative in the article.