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Journal Article > Study
Impact of barcode medication administration technology on how nurses spend their time providing patient care.
Poon EG, Keohane CA, Bane A, et al. J Nurs Adm. 2008;38:541-549.
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. Proper integration of information technology into provider workflow was the subject of a Joint Commission Sentinel Event Alert.
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.
ISMP Medication Safety Alert! Acute Care Edition. January 17, 2019;24.
This newsletter article reports on the findings of a government investigation into the death of a patient during a positron emission tomography scan. A neuromuscular blocking agent was mistakenly administered instead of an anti-anxiety medication with a similar name. The investigation determined various individual and system failures that contributed to the incident, such as misuse of automated dispensing cabinets, wrong picklist medication selection, workarounds of override protections, and lack of patient monitoring. Recommendations for preventing similar incidents include use of barcoding verification, automated dispensing cabinet stocking changes, and labeling improvements.