Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

Alma Mulac; Liv Mathiesen; Katja Taxis; Anne Gerd Granås

Study

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

August 4, 2021

Mulac A, Mathiesen L, Taxis K, et al. BMJ Qual Saf. 2021;30(12):1021-1030.

View more articles from the same authors.

Barcode medication administration (BCMA) is a mechanism to prevent adverse medication events, but unintended consequences have also been reported when BCMA is not used appropriately. Researchers observed nurses administering medications and identified task-related, organizational, technological, environmental, and nurse-related BCMA policy deviations. Researchers provide several strategies for hospitals wishing to implement or improve BCMA systems.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial.

December 7, 2022

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports.

November 10, 2021

A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge.

January 8, 2020

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.

August 26, 2020

Factors associated with workarounds in barcode-assisted medication administration in hospitals.

August 26, 2020

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.

June 22, 2022

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.

February 5, 2020

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.

July 29, 2020

July 20, 2022

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

September 15, 2021

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.

March 3, 2021

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.

March 24, 2021

Use of e-triggers to identify diagnostic errors in the paediatric ED.

April 6, 2022

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.

December 9, 2020

August 19, 2020

Effect of barcode technology on medication preparation safety: a quasi-experimental study.

April 14, 2021

Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review.

February 16, 2022

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.

November 11, 2020

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Chronic hospital nurse understaffing meets COVID-19: an observational study.

September 9, 2020

Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.

March 30, 2022

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.

October 27, 2021

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why?

December 2, 2020

Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.

August 12, 2020

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals.

September 1, 2021

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.

February 16, 2022

Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study.

February 8, 2023

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.

March 15, 2017

A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.

August 3, 2022

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.

April 14, 2021

Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study.

June 29, 2022

Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study.

July 11, 2012

Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.

September 16, 2020

The problem with 'My Five Moments for Hand Hygiene'.

August 25, 2021

We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability.

February 9, 2022

Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.

May 4, 2022

Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.

May 11, 2022

Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.

August 24, 2022

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.

November 25, 2020

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review.

April 27, 2022

Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.

October 27, 2021

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals.

July 10, 2019

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis.

June 17, 2020

How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory.

October 19, 2022

Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation.

April 20, 2022

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.

November 24, 2021

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.

May 25, 2022

Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.

January 25, 2023

February 2, 2022

Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.

December 16, 2015

Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.

July 15, 2020

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.

July 31, 2019

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis.

March 31, 2021

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.

June 30, 2021

Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.

December 23, 2020

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.

March 17, 2021

A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.

October 6, 2021

Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences.

December 23, 2020

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.

May 5, 2021

Documenting the indication for antimicrobial prescribing: a scoping review.

November 2, 2022

Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

January 9, 2019

Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.

July 8, 2020

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.

October 6, 2021

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.

March 10, 2021

Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study.

January 11, 2023

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

Improving responses to safety incidents: we need to talk about justice.

February 23, 2022

Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.

August 5, 2020

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.

January 8, 2020

A safe practice standard for barcode technology.

June 3, 2015

Making communication and resolution programmes mission critical in healthcare organisations.

November 11, 2020

The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals.

March 4, 2015

Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.

December 2, 2020

Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study.

February 24, 2021

A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.

January 8, 2014

The problem with making Safety-II work in healthcare.

April 13, 2022

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship.

June 15, 2016

Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.

November 1, 2017

Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology.

October 5, 2022

Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.

February 16, 2022

Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement.

August 25, 2021

Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.

August 24, 2022

The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians.

October 20, 2021

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.

December 16, 2020

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

Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.

May 18, 2022

I-PASS handover system: a decade of evidence demands action.

May 12, 2021

Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.

July 22, 2020

Managing teamwork in the face of pandemic: evidence-based tips.

June 24, 2020

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.

March 2, 2022

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care.

August 10, 2022

Research to improve diagnosis: time to study the real world.

January 26, 2022

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.

February 3, 2021

Related Resources

WebM&M Cases

Medication Mix-Up Leads to Patient Death

November 30, 2023

Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study.

November 1, 2023

Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition.

October 25, 2023

Taking a closer look at medication errors that involve oxytocin.

June 14, 2023

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.

March 22, 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

Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.

October 12, 2022

Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology.

October 5, 2022

Administering High-Strength Insulin from a Pen Device in Hospital.

September 14, 2022

Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.

September 14, 2022

Barcode medication administration software technology use in the emergency department and medication error rates.

August 31, 2022

Exploring nurses' attitudes, skills, and beliefs of medication safety practices.

August 24, 2022

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

August 24, 2022

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.

June 15, 2022

Mindful workarounds in bar code medication administration.

June 8, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study.

December 1, 2021

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports.

November 10, 2021

WebM&M Cases

To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room

October 27, 2021

Fatal mistakes: why do ten-fold medication errors in children keep happening?

May 5, 2021

Effect of barcode technology on medication preparation safety: a quasi-experimental study.

April 14, 2021

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.

October 21, 2020

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

September 23, 2020

Factors associated with workarounds in barcode-assisted medication administration in hospitals.

August 26, 2020

Preventing medication errors at small and rural hospitals.

May 20, 2020

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

April 15, 2020

The contribution of staffing to medication administration errors: a text mining analysis of incident report data.

December 18, 2019

Implementation of bar-code medication administration to reduce patient harm.

February 20, 2019

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

See More About The Topic

Hospitals

Nurse Managers

Information Professionals

Nurse Care

Dispensing Errors

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site