Effect of barcode-assisted medication administration on emergency department medication errors.

Joseph Bonkowski; Cynthia Carnes; Joseph Melucci; Jay M Mirtallo; Beth Prier; Erin Reichert; Susan D Moffatt-Bruce; Robert J Weber

Study

Effect of barcode-assisted medication administration on emergency department medication errors.

October 2, 2013

Bonkowski J, Carnes C, Melucci J, et al. Acad Emerg Med. 2013;20(8):801-6.

View more articles from the same authors.

Implementation of barcode-assisted medication administration was associated with an 80% reduction in medication administration errors in an urban emergency department.

PubMed citation

Available at

Related Resources From the Same Author(s)

Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.

August 14, 2013

Detection of adverse drug events using an electronic trigger tool.

October 12, 2016

The limits of checklists: handoff and narrative thinking.

June 25, 2014

Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.

April 1, 2015

Leadership oversight for patient safety programs: an essential element.

January 17, 2018

Another surgeon's error: must you tell the patient?

October 15, 2014

IDEA4PS: the development of a research-oriented learning healthcare system.

February 14, 2018

Preventing wrong site, procedure, and patient events using a common cause analysis.

August 31, 2011

Interventions to reduce burnout and improve resilience: impact on a health system's outcomes.

June 12, 2019

Patient safety: disclosure of medical errors and risk mitigation.

August 3, 2016

Evaluation of parenteral nutrition errors in an era of drug shortages.

December 16, 2015

Investigating the causes of adverse events.

June 7, 2017

Patient safety strategies: are we on the same team?

October 3, 2012

Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.

March 18, 2015

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.

August 13, 2014

Cultural transformation after implementation of crew resource management: is it really possible?

July 27, 2016

The link between clinically validated patient safety indicators and clinical outcomes.

January 10, 2018

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety.

September 14, 2016

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care.

November 16, 2016

Implementation of a "second victim" program in a pediatric hospital.

April 8, 2015

What is the return on investment for implementation of a crew resource management program at an academic medical center?

October 14, 2015

Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings.

July 12, 2017

Applying human factors engineering to address the telemetry alarm problem in a large medical center.

August 11, 2021

Implementing a bar-code medication administration system.

January 21, 2009

Designing a strategy to promote safe, innovative off-label use of medications.

August 2, 2006

Assessing and monitoring override medications in automated dispensing devices.

May 31, 2006

Developing a medication patient safety program — infrastructure and strategy.

March 7, 2007

Improvement of medication event interventions through use of an electronic database.

December 18, 2013

Using contemporary leadership skills in medication safety programs.

June 29, 2016

Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.

September 24, 2014

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.

July 1, 2009

Retained surgical items: a problem yet to be solved.

October 31, 2012

Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.

October 11, 2006

Medication errors resulting from computer entry by nonprescribers.

May 6, 2009

Attitudes toward patient safety standards in US dental schools: a pilot study.

April 16, 2008

A comparison of voluntarily reported medication errors in intensive care and general care units.

March 24, 2010

Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter?

March 29, 2017

Who’s sorry now?

March 22, 2006

Evaluation of causes and frequency of medication errors during information technology downtime.

July 8, 2009

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.

September 19, 2012

Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.

January 11, 2006

The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action.

April 20, 2016

Teaching a 'good' ward round.

April 22, 2015

On the prospects for a blame-free medical culture.

November 4, 2009

Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study.

April 5, 2023

Do safety culture scores in nursing homes depend on job role and ownership? Results from a national survey.

October 4, 2017

Using simulation to identify sources of medical diagnostic error in child physical abuse.

April 27, 2016

Inappropriate medication in a national sample of US elderly patients receiving home health care.

October 26, 2011

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

May 12, 2010

Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out.

December 5, 2007

Who killed patient safety?

July 20, 2022

Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery.

September 18, 2019

Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives.

June 22, 2016

Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction.

January 23, 2019

Learning from error: identifying contributory causes of medication errors in an Australian hospital.

March 19, 2008

Isolation precautions for visitors.

April 29, 2015

Impact of sleep deficiency on surgical performance: a prospective assessment.

April 19, 2023

When clinicians drop out and start over after adverse events.

March 14, 2018

Rapid response systems: from implementation to evidence base.

November 3, 2010

Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial.

March 2, 2022

Care at the point of impact: insights into the second-victim experience.

May 18, 2016

Medication reconciliation improvement utilizing process redesign and clinical decision support.

January 29, 2020

Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety.

February 7, 2007

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.

February 12, 2014

All CLEAR? Preparing for IT downtime.

September 28, 2016

Theoretical approaches for investigating patient safety.

June 1, 2005

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.

April 18, 2012

Effect of pharmacists on medication errors in an emergency department.

February 27, 2008

Impact of the nurse shortage on hospital patient care: comparative perspectives.

July 25, 2007

Second victims and mindfulness: a systematic review.

August 21, 2019

Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval.

June 26, 2019

A safety culture transformation: its effects at a children's hospital.

September 12, 2012

Characteristics of quality and patient safety curricula in major teaching hospitals.

July 21, 2010

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.

January 23, 2008

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

October 27, 2010

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

September 21, 2016

Surgical never events and contributing human factors.

July 8, 2015

Provider perspectives on partnering with parents of hospitalized children to improve safety.

June 27, 2018

Parents' perspectives on "keeping their children safe" in the hospital.

November 30, 2016

Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged.

May 18, 2016

Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital.

February 13, 2008

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

Principles of conservative prescribing.

June 29, 2011

Family-initiated dialogue about medications during family-centered rounds.

February 11, 2015

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

March 30, 2011

Using failure mode and effects analysis to increase patient safety in cancer chemotherapy.

December 22, 2021

What is the value and impact of quality and safety teams? A scoping review.

November 16, 2011

An intervention to decrease catheter-related bloodstream infections in the ICU.

January 3, 2007

Why empathy may be the best risk management strategy.

March 11, 2015

Surgical glove perforation and the risk of surgical site infection.

June 24, 2009

How to develop a second victim support program: a toolkit for health care organizations.

May 2, 2012

A pause in pediatrics: implementation of a pediatric diagnostic time-out.

September 14, 2022

Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out.

September 25, 2019

Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors.

September 13, 2017

A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.

June 29, 2005

Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers.

February 19, 2020

Decreasing 30-day readmission rates.

November 16, 2011

High reliability: excellent care every time.

April 20, 2016

Related Resources

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

August 31, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.

August 25, 2021

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

August 4, 2021

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

September 23, 2020

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

April 15, 2020

Validation of a mobile app for reducing errors of administration of medications in an emergency.

June 19, 2019

The effect of a clinical decision support for pending laboratory results at emergency department discharge.

February 13, 2019

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

January 23, 2019

Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.

December 5, 2018

Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.

November 21, 2018

Provider interruptions and patient perceptions of care: an observational study in the emergency department.

November 7, 2018

Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.

June 13, 2018

Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review.

July 26, 2017

The effects of bar-coding technology on medication errors: a systematic literature review.

April 19, 2017

Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode.

October 5, 2016

The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery.

August 24, 2016

Safety of the Manchester Triage System to detect critically ill children at the emergency department.

August 17, 2016

Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department.

July 13, 2016

The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.

June 1, 2016

Pediatric emergency department discharge prescriptions requiring pharmacy clarification.

August 5, 2015

Preparing challenging medications for barcode scanning.

July 8, 2015

February 25, 2015

Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.

November 19, 2014

Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States.

September 24, 2014

How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.

September 17, 2014

Implementation of an emergency department sign-out checklist improves transfer of information at shift change.

September 3, 2014

Indication alerts intercept drug name confusion errors during computerized entry of medication orders.

September 3, 2014

Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."

July 30, 2014

Adverse drug event–related emergency department visits associated with complex chronic conditions.

June 11, 2014

See More About The Topic

Emergency Departments

Physicians

Nurses

Pharmacists

Health Care Executives and Administrators

Effect of barcode-assisted medication administration on emergency department medication errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Effect of barcode-assisted medication administration on emergency department medication errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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