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Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework

Kelly, Kandace DNP, RN-BC; Harrington, Linda PhD, DNP, RN-BC; Matos, Pat DNP, RN, NEA, BC; Turner, Barbara PhD, RN, FAAN; Johnson, Constance PhD, MS, RN, FAAN

JONA: The Journal of Nursing Administration: January 2016 - Volume 46 - Issue 1 - p 30–37
doi: 10.1097/NNA.0000000000000290

Bar-code medication administration (BCMA) effectiveness is contingent upon compliance with best-practice protocols. We developed a 4-phased BCMA evaluation program to evaluate the degree of integration of current evidence into BCMA policies, procedures, and practices; identify barriers to best-practice BCMA use; and modify BCMA practice in concert with changes to the practice environment. This program provides an infrastructure for frontline nurses to partner with hospital leaders to continually evaluate and improve BCMA using a systematic process.

Author Affiliations: Performance Improvement and Magnet Program Director (Dr Kelly) and Chief Nursing Officer (Dr Matos), UCLA Resnick Neuropsychiatric Hospital, Los Angeles, California; Vice President and Chief Nursing Informatics Officer (Dr Harrington), Catholic Health Initiatives, Texas Division, Englewood, Colorado; Director (Dr Turner), Doctor of Nursing Practice Program, and Associate Professor (Dr Johnson), Duke University School of Nursing, Durham, North Carolina.

The authors declare no conflicts of interest.

Correspondence: Dr Kelly, Resnick Neuropsychiatric Hospital, 757 Westwood Plaza Ste 4502H, Los Angeles, CA 90095 (

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