Medication errors occurring with the use of bar-code administration technology.

Newspaper/Magazine Article

Medication errors occurring with the use of bar-code administration technology.

January 28, 2009

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

This article describes errors associated with bar coded medication administration and provides strategies to avoid mistakes that stem from workarounds and overrides, disruptions in the medication administration process, and pharmacy dispensing errors.

Free full text

Related Resources From the Same Author(s)

Medication errors associated with documented allergies.

October 15, 2008

Sterile water should not be given "freely."

July 9, 2008

Medication assessment: one determinant of falls risk.

April 9, 2008

Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis.

April 23, 2008

Medication errors involving overrides of healthcare technology.

January 20, 2016

Analysis of reported drug interactions: a recipe for harm to patients.

January 11, 2017

Managing patient access and flow in the emergency department to improve patient safety.

December 15, 2010

Medication errors with the dosing of insulin: problems across the continuum.

March 17, 2010

Safeguarding the storage of drug products.

June 16, 2010

Diagnostic error in acute care.

September 15, 2010

Applying the Universal Protocol to improve patient safety in radiology services.

June 22, 2011

Beyond the count: preventing the retention of foreign objects.

July 15, 2009

Medication errors: when pharmacy is closed.

March 14, 2012

Patients taking their own medications while in the hospital.

June 20, 2012

Speaking up for safety—it’s not simple.

October 3, 2018

Breakdowns in the medication reconciliation process.

January 8, 2014

Omission of high-alert medications: a hidden danger.

January 7, 2015

Latex: a lingering and lurking safety risk.

April 4, 2018

Wrong-site orthopedic operations on the extremities: the Pennsylvania experience.

March 25, 2015

Delivering the right diet to the right patient every time.

June 24, 2015

Distractions and their impact on patient safety.

March 13, 2013

Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.

June 27, 2018

Health literacy and patient safety events.

July 13, 2016

Medication errors affecting pediatric patients: unique challenges for this special population.

October 7, 2015

Spotlight on electronic health record errors: errors related to the use of default values.

September 25, 2013

Bridging the gap between work-as-imagined and work-as-done.

July 26, 2017

Medication errors attributed to health information technology.

March 29, 2017

Robotic-assisted surgery: focus on training and credentialing.

September 24, 2014

Improvement of Pennsylvania healthcare consumers' awareness of patient safety.

March 19, 2014

Distractions in the operating room.

June 18, 2014

Exploring vulnerability to patient safety events along the age continuum.

April 3, 2019

Perioperative medication errors: uncovering risk from behind the drapes.

January 16, 2019

Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention.

June 12, 2013

Promote a culture of safety with good catch reports.

October 4, 2017

Improving Diagnosis.

November 28, 2018

The star of the diagnostic journey: assessing patient perspectives.

November 28, 2018

Oral medications inadvertently given via the intravenous route.

September 18, 2013

Prescribing errors that cause harm.

October 5, 2016

Medication errors involving healthcare students.

March 30, 2016

Surgical fires: decreasing incidence relies on continued prevention efforts.

July 18, 2018

Events associated with the prescribing, dispensing, and administering of medication loading doses.

September 19, 2012

Drug labeling and packaging — looking beyond what meets the eye.

October 10, 2007

Lost surgical specimens, lost opportunities.

October 12, 2005

Safe intrahospital transport of the non-ICU patient using standardized handoff communication.

April 15, 2009

Improving the safety of telephone or verbal orders.

July 12, 2006

The forgotten tourniquet—an update.

March 13, 2016

Skin tears: the clinical challenge.

October 18, 2006

Healthcare industry representatives: maximizing benefits and reducing risks.

April 19, 2006

Use of color-coded patient wristbands creates unnecessary risk.

January 4, 2006

Obstetric Issues.

January 13, 2010

Insight into preventing wrong-site surgery.

January 23, 2008

The role of the electronic health record in patient safety events.

January 9, 2013

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

September 14, 2011

Debriefing for patient safety.

November 26, 2008

Patient and family advisory councils. The Massachusetts experience.

January 6, 2016

Becoming a high-reliability organization through shared learning of safety events

January 22, 2020

Using clinical decision support to improve medication reconciliation.

December 13, 2006

Improving Patient Care Through Safe Health IT.

January 17, 2018

Safely implementing health information and converging technologies.

January 7, 2009

2008 John M. Eisenberg Patient Safety and Quality Awards.

October 8, 2008

The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors.

May 19, 2021

The Sepsis Early Recognition and Response Initiative (SERRI).

March 9, 2016

An interdisciplinary approach to safer blood transfusion.

April 2, 2008

Patient safety: the synergy of technology and behavior.

February 27, 2008

Patient Safety in Obstetrics and Gynecology: Improving Outcomes, Reducing Risks.

March 19, 2008

For patients, a list of hospital hazards.

January 14, 2009

Alarm management: first things first: using reliable data to eliminate unnecessary alarms.

December 10, 2014

Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical Trial Optional).

December 20, 2023

Improving Quality of Care and Patient Outcomes During Care Transitions (R01).

January 8, 2020

Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience.

April 14, 2021

MRI safety 10 years later.

December 7, 2011

A system-based approach to managing patient safety in ambulatory care (and beyond).

January 10, 2018

Ensuring medication reconciliation.

December 19, 2007

Safe practice environment chapter proposed by USP.

December 17, 2008

Data collection for adverse events reporting by US dental schools.

September 30, 2020

Preventing wrong-site surgery in Minnesota: a 5-year journey.

December 19, 2012

Hospitals collaborate to prevent wrong-site surgery.

October 20, 2010

Effective use of medication-related decision support in CPOE.

October 1, 2008

The Leapfrog Group's CPOE standard and evaluation tool.

July 30, 2008

Age-related COVID-19 vaccine mix-ups.

December 15, 2021

Patient Safety Structural Measure Specifications.

December 13, 2023

VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete.

November 9, 2011

A Conversation with Patient Safety Officers.

October 24, 2007

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.

February 18, 2009

Adverse Events in Hospitals: State Reporting Systems.

January 14, 2009

Adverse Events in Hospitals: Overview of Key Issues.

January 14, 2009

Physicians-in-training attitudes on patient safety: 2003 to 2008.

September 7, 2011

Association of rapid response teams with hospital mortality in Medicare patients.

October 19, 2022

Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida.

April 26, 2006

Patient Safety Authority Annual Reports.

May 1, 2023

Patient Safety.

September 25, 2019

The Safety Competencies Framework.

October 5, 2021

Safety First: One Year On.

January 9, 2008

National Agenda for Action: Patients and Families in Patient Safety.

March 6, 2005

Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste.

March 23, 2016

Health IT Safe Practices for Closing the Loop.

August 22, 2018

Safe Practices for Drug Allergies—Using CDS and Health IT.

August 7, 2019

Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization.

March 10, 2021

Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care.

February 17, 2021

Implementing Closing the Loop. Safe Practices for Diagnostic Results

February 5, 2020

Related Resources

Taking a closer look at medication errors that involve oxytocin.

June 14, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Journal Article

Study

Reducing hospital harm: establishing a command centre to foster situational awareness.

March 29, 2023

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

Medication errors: the year in review: January through December 2021.

January 11, 2023

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.

January 23, 2019

Perioperative medication errors: uncovering risk from behind the drapes.

January 16, 2019

Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.

October 17, 2018

Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.

September 21, 2016

Detection of medication-related problems in hospital practice: a review.

October 2, 2013

Risk factors for hospital admissions associated with adverse drug events.

August 28, 2013

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Bar-code verification: reducing but not eliminating medication errors.

December 12, 2012

Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.

October 24, 2012

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

June 13, 2012

Medication errors: when pharmacy is closed.

March 14, 2012

Automated identification of extreme-risk events in clinical incident reports.

February 8, 2012

Electronic health record-based surveillance of diagnostic errors in primary care.

November 2, 2011

A systematic review of the psychological literature on interruption and its patient safety implications.

October 12, 2011

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

October 5, 2011

Medicines reconciliation using a shared electronic health care record.

September 14, 2011

Developing a programme for medication reconciliation at the time of admission into hospital.

September 7, 2011

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

August 24, 2011

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

August 24, 2011

Design for reliability: barcoded medication administration.

August 10, 2011

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

July 27, 2011

See More About The Topic

Hospitals

Health Care Providers

Quality and Safety Professionals

Information Professionals

General Internal Medicine