Assignment:The Application of Barcode Medication Administration Essay
Assignment:The Application of Barcode Medication Administration Essay
Assignment:The Application of Barcode Medication Administration Essay
The Application of Barcode Medication Administration
Healthcare technologies have, over time, improved care delivery processes. They enhance safety, efficiency, and efficacy and streamline processes to eliminate errors. Clinical systems are organization-wide or department-wide and have specific roles. They include barcode medication administration systems, clinical decision support systems, computerized physician order entry, and healthcare dashboards. An analysis of literature testing the effectiveness of clinical systems helps care providers make decisions regarding their implementation. This annotated bibliography evaluates the application of barcode medication administration in clinical settings.
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Annotated Bibliography
Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2021). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832-841. https://doi.org/10.1016/j.sapharm.2020.08.001
Zheng et al. (2021) evaluated the impact on the hospital of implementing dispensing cabinets, closed-loop electronic management systems, and barcode technologies, especially on the rate of medication errors. The researchers evaluated studies between 2000 and 2019 that reported findings on the three technologies evaluated. Eleven studies met the criteria and were evaluated against the study objectives. Among the four studies on BCMA, three showed that BCMA reduces medication errors in the facility. However, medications that were wrongly coded increased confusion and medication administration errors. According to the study, BCMA interventions should be thoroughly evaluated and implemented to achieve the desired results and eliminate errors. The study shows that BCMA is a viable technology for error prevention in healthcare facilities. In addition, supporting technologies such as robust health information systems should be implemented to support these technologies.
Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). Implementing barcode medication administration in an emergency department affects medication administration errors and nursing satisfaction. Journal of Emergency Nursing, 46(6), 884–891. https://doi.org/10.1016/j.jen.2020.07.004
Owens et al. (2020) evaluated the effectiveness of BCMA on medication administration errors and nursing staff satisfaction. The study had no control group and used direct observation to compare medication rates before and after BCMA implementation. A survey was also used to determine nurses’ satisfaction with BCMA administration. During the study, 676 medication administration processes before BCMA and 656 after BCMA. The medication administration error rate pre-implementation was 2.96%; post-implementation, the rate dropped to 0.76%, representing a 74% reduction. ‘Wrong dose’ was the most common type of error. BCMA streamlines the administration process and allows the nurses to confirm patient and medication details before administering them.
The technology ensures that medication administration conforms to all the five rights of medications. However, much due diligence is required to capture errors committed in earlier stages of the medication administration process. The nurses’ satisfaction score dropped from 2.60 pre-implementation to 2.29 post-implementation. The study results show that BCMA is a viable technology that reduces medication errors and improves nurses’ satisfaction. Nurses’ satisfaction is significant in the utilization of technology. The researchers note that poor nurses’ satisfaction (and perception) with the technology greatly influences their compliance with it and its successful implementation. The study shows that BCMA is a widely accepted technology, hence the higher chances of successful implementation in clinical settings.
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of barcode medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511. https://doi.org/10.4236/health.2019.115044
BCMA and electronic medication administration system (e-MAR) are usable technologies in medication administration error prevention. Naidu and Alicia (2019) evaluated the effectiveness of BCMA and e-MAR effects on clinical outcomes, practices, policies, and nursing medication administration processes. Before implementing the innovation, they conducted a literature review and considered their study methods, data collection, analysis, and limitations. The studies showed significant changes in reported medication errors. Studies utilizing both the e-MAR and the BCMA technologies had the best outcomes compared to others. The literature analysis shows that e-MAR and BCMA technologies reduce errors in physician order, dosage medication administration, and prescription errors, improve compliance satisfaction, medication administration efficiency, and patient safety, and enhance care outcomes (Naidu & Alicia, 2019).
The study also notes that the technologies can fail to produce the desired outcomes when care providers lack the required knowledge for their implementation, resist change, or encounter unfriendly technology. Other factors include lacking policy and guideline support, technical support, or exposure to unfamiliar processes (Naidu & Alicia, 2019). More so, most of the studies recommended the implementation of BCMA to improve outcomes and reduce medication errors. According to the study, developing robust and well-designed systems significantly eliminates poor outcomes associated with poorly designed systems. In addition, care providers should consider possible errors that could arise with implementing these systems and implement strategies to prevent them from occurring. Information gathered from the study will thus help implement change and influence the care delivery processes for quality patient outcomes.
Lieb, D. (2019). Evaluating the efficacy of bar code medication administration use in an emergency department (Doctoral dissertation, Rutgers University-School of Nursing-RBHS). https://doi.org/doi:10.7282/t3-b6tr-fb76
Safe medication administration is a significant nursing and healthcare goal. BCMA is an endorsed intervention for use in enhancing safety in medication administration. Various bodies, such as the Anesthesia Patient Safety Foundation and the Society of Health-System Pharmacists, have endorsed the technology and recommended its use in various departments, such as the ED. The study notes that BCMA is a widely accepted technology that effectively prevents medication administration errors. However, compliance is essential as non-compliance leads to misleading data showing ineffective technologies.
Lieb (2019) conducted a study to evaluate the efficacy of scanning devices used in BCMA to implement the most effective technology in the emergency unit. The data was collected from an existing data database and collected retrospectively. The patient scanning rates were higher in tethered than non-tethered computers. The study supports BCMA implementation in healthcare and recommends interventions to eliminate the non-compliance associated with these technologies. The study recommends that institutions implement scanning devices with tethering to monitor scanning processes to enhance compliance and reap the benefits of the technologies in preventing medication administration errors.
Summary
The articles analyzed above show support for implementing BCMA in healthcare institutions. The articles discussed produced several takeaways for BCMA implementation. All these studies supported BCMA technology implementation. Lieb (2019) notes that tethering scanners are vital in enhancing compliance with scanning practices hence their need in BCMA implementation. In addition, electronic medication administration record systems and BCMA technologies can be used together to enhance the success of medication administration error prevention (Naidu & Alicia, 2019). Owens et al. (2020) note that BCMA technology reduces medication administration errors and nurses’ satisfaction. Zheng et al. (2021) note that BCMA improves medication error prevention. However, poorly developed technologies lead to confusion and errors in medication administration hence the need for keen system development and analysis. The data generated from these articles support BCMA and provide vital information that will inform the technology implementation.
References
Dunn, L., & Anderson, J. (2019). Barcode medication administration implementation in the operating room. American Journal of Health-System Pharmacy, 76(10), 636-637. https://doi.org/10.1093/ajhp/zxz039
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of barcode medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511. https://doi.org/10.4236/health.2019.115044
Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). The effect of implementing barcode medication administration in an emergency department on medication administration errors and nursing satisfaction. Journal of Emergency Nursing, 46(6), 884–891. https://doi.org/10.1016/j.jen.2020.07.004
Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2021). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832-841. https://doi.org/10.1016/j.sapharm.2020.08.001
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To Prepare:
Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
Include an introduction explaining the purpose of the paper.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
Use APA format and include a title page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.
