Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements

Annotated Bibliography- Technology in Nursing

Medication errors and adverse drug events are highly common in the healthcare sector. They occur at an alarming rate, costing the lives of people, reducing the quality of care, and increasing hospital costs. Hospitals have attempted to lessen adverse drug events and medication errors by making investments in new technologies. I am interested in this topic because it is a major problem that has affected the lives of most patients, and knowledge of technologies like barcode technology can help lessen medication errors and increase the quality and confidence of patients in health care. I employed PubMed in the search for scholarly articles on the topic. The common search terms used were barcode medication administration technology, patient safety, and quality of care.

Macias, M., Bernabeu-Andreu, F. A., Arribas, I., Navarro, F., & Baldominos, G. (2018, January). Impact of a Barcode Medication Administration System on Patient Safety. In Oncology nursing forum, 45(1), 1-13. Doi: 10.4236/health.2019.115044

This article discusses the effect that a barcode medication administration system has on patient safety. The authors claim that about 20% of medication errors are normally reported yearly. However, with barcode medication administration, medication administration errors can be lessened by allowing nurses to verify the 5 rights of medication administration (patient, dose, time, route, and drug). This technology can lessen MAEs by 56%. In the oncology department, the article cites an 85% reduction in MAEs. This also lessens the length of stay in hospitals for patients.  As a result, the quality of care and patient safety are improved. The authors claim that this technology is highly useful in the nursing practice because it enables or reminds nurses to check the 5 rights of medication administration. This lowers the rate of medication administration errors and improves patient safety and quality of care. The authors also highlight the importance of an interdisciplinary health care team since the success and implementation of the barcode technology is based on collaboration, communication and cooperation among these team members.  Nurses are of particular importance to facilitate smooth collaboration and communication as well as maintenance and implementation of the barcode technology. This technology also enables the interdisciplinary team to uphold a culture of patient safety and spend more time on direct patient care activities. This resource is highly important because it gives insight into the importance of implementing a barcode medication administration system in hospitals to lessen medication administration errors and improve patient safety.

Truitt, E., Thompson, R., Blazey-Martin, D., Nisai, D., & Salem, D. (2016). Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Hospital Pharmacy, 51(6), 474-483. doi: 10.1310/hpj5106-474

This article assesses the impact of the implementation of barcode medication administration together with an electronic medication administration record technology on adverse drug events in a hospital setting. The authors claim that ADEs are among the most common errors affecting patients in hospitals, with about 18% of patients being affected by a serious ADE in the US. Additionally, the cost associated with ADEs is about $3.5 billion per year, and preventable human errors are the common causes of ADEs. The article claims that the implementation of the barcode medication administration, together with an electronic medication administration record, was associated with an improvement in patient safety as well as a reduction in the general rate of adverse drug events and transcription errors. The technologies were also linked with a reduction in the general harmful effects caused by medication administration errors. In particular, barcode technology is said to lessen serious errors by 25% and administration errors by more than 50%. Furthermore, this technology is important to the nursing practice because it streamlines workflow, allowing for more time spent with patients and ensuring quality care is provided to the patients. With a more streamlined workflow, the interdisciplinary healthcare team is able to cooperate and communicate better to ensure the success of the barcode technology in improving patient safety and quality of care. In their research, the authors compared the differences in administration errors before and after the implementation of the barcode technology and electronic medication administration records. The originality of the article made it stand out among the many possible options available on the topic of barcode technology.

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