• Othman, E. H., & Darawad, M. W. (2020). Nurses’ compliance with barcode medication administration technology. CIN: Computers, Informatics, Nursing, 38(5), 256- 262. https://doi.org/10.1097/cin.0000000000000591

    The research aimed to assess the significance of using barcode medication administration technology on medication errors in the in-patient setting. The BCMA technology was implemented in fifty in-patient nursing units between September 2008 to 0ctober 2010. During the study, 500,000 medications were dispensed every month.

    Medication errors decreased by 17% during the barcode system implementation. Additionally, reporting of non-medication events increased by 20%. Errors reduced from 37.25 to 21.03 per 100,000 administered medication after the implementation. The researchers also measured adherence to BCMA implementation in nursing. Results showed that adherence was at 70% during implementation, but by post-implementation, adherence was at 94.4%.

    The implementation of the BCMA was efficient and reduced medication errors. For instance, nurses could identify the right patient and the right medication, hence eliminating bedside errors. This reduced the medication harm caused to patients. As the medication errors reduced, nurses’ compliance with BCMA also increased. Lessons learned from the article are that the use of technology in the nursing process helps in eliminating medication errors.

    By implementing BCMA, nurses follow the principle of the five rights of medication, which include the right patient, right dosage, right routine, right time, and right drug. This is clear because, after implementing BCMA, nurses could administer medication at the right time compared to pre-BCMA implementation. This way, nurses can reduce the harm caused by medication, thus improving the quality of the patient outcome.

    Shah, K., Lo, C., Babich, M., Tsao, N. W., & Bansback, N. J. (2016). Bar code medication administration technology: A systematic review of the impact on patient safety when used with computerized prescriber order entry and automated dispensing devices. The Canadian Journal of Hospital Pharmacy, 69(5). https://doi.org/10.4212/cjhp.v69i5.1594

    Shah et al. (2016) conducted a systematic review to assess the BCMA impact on medication errors in the medication administration system. Researchers reviewed articles from databases such as MEDLINE, PubMed, and Embase. Keywords used during the search included bard codes, medication errors, medication system, and hospitals.

    Articles that used randomized controlled trials, observational studies, and before and after studies were included. Articles that implemented barcodes outside the hospital were excluded. Of 37 articles, only 5 met the inclusion criteria.

    The studies divided errors into near-miss and errors that reach the patients. Researchers found that with BCMA implementation, near-miss errors increased to 90%, which included administration errors. However, there was a 75% reduction in errors reaching the patient.

    The use of barcodes increased from 94% to 98%. Findings show that BCMAs were efficient in medication error reduction, hence improving the quality of patient outcomes. However, the major lesson learned is that BCMAs may reduce the harm that reaches the patient.

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