Barcode scanning of the patient's armband to confirm identity can reduce medication errors related to patient information but initially, barcode technology increases medication administration times, which may lead nursing staff to use potentially dangerous workarounds that bypass this safety system. You may not associate 2d barcode technology with saving lives in the field of medicine, but the truth is barcodes and 2d barcode scanners play an increasingly important role in the healthcare industry and have been responsible for saving thousands of lives. Effective in supporting bar code identification on each medication, it was only a recommendation to use barcode scanner in the delivery of medication to the patient the. The upc, the most common version of the so-called bar code, wasn't as warmly embraced or as breathtaking as some emerging technologies, but its impact on retailing has been enormous. Implementation of a barcode medication administration system was associated with an increase in the time nurses spent in direct patient care and did not increase the amount of time devoted to medication administration.
Abstract an electronic barcode medication administration system was successfully implemented in the acute care and long-term care sections of a 118-bed veterans administration hospital beginning in february 2000. Bar-coding of medications has been advocated as a means of reducing medication administration errors although some studies have found success, others have noted unintended consequences. Patient safety applications of barcode and rfid technologies carry barcodes at the time that a medication is administered, all three barcodes are scanned at the.
Barcode medication administration systems 439 and was introduced nationwide in 2000 it is modified and upgraded on an ongoing basis to meet the general needs of all the vha medical centers5-7. 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. This larger study focused on the efficacy of bar code verification technology within an electronic medication-administration system (bar code emar) in reducing serious medication error, particularly during order transcription or administration of medication.
In a time-motion study conducted in a hospital that recently implemented barcode medication administration (bcma) technology, we found that the bcma system did not increase the amount of time nurses spend on medication administration activities, and did not compromise the amount of time nurses spent on direct care of patients. In 2006, we investigated the effectiveness of a bar code medication administration (bcma) system in reducing preventable adverse drug events (ades) in a neonatal intensive care unit (nicu) (morriss et al 2009. Bar code medication administration technology: a systematic review of impact on patient safety when used with computerized prescriber order entry and automated dispensing devices the canadian journal of hospital pharmacy , 69 (5), 394.
Barcode scanning during medication administration is a powerful tool to prevent errors and support patient safety in spite of the significant patient safety benefits, there is a lack. Measuring the impact of bar-coded medication administration the ahrq -funded projects listed below are measuring the impact of bcma on health care quality, safety, and efficiency bar coding for patient safety in northern michigan (randi oehlers traverse city, michigan. On february 25, 2004, the us food and drug administration finalized a rule for bar-code labeling medications and blood components to prevent adverse events 10 the rule requires placement of a linear bar-code label containing the national drug code number on most prescription drugs and certain over-the-counter drugs within two years. Planning and implementing a bar code scanning system at the bedside was a major undertaking for bmc because the patient safety-focused process is designed to significantly reduce medication administration errors.
The use of bar-code medication administration technology is on the rise in acute care facilities in the united states the technology is purported to decrease medication errors that occur at the point of administration. Bar-code point-of-care (bpoc) medication administration systems are designed to ensure that the right drug is being administered via the right route to the right patient in the right amount at the. Includes review articles describing articles on bar code-assisted medication administration (bcma) and/or technology, summary of a research published in another jour- nal, perspective, editorial, letter to the editor.