Effects of bar code-assisted medication administration (BCMA) on frequency, type and severity of medication administration errors: a review of the literature

Hassink, Jeroen Jules Margriet; Jansen, Manon A. A.; Helmons, Pieter J.

doi:10.1136/ejhpharm-2012-000058

Cited by 31 publications

(23 citation statements)

References 23 publications

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“…Two key data gaps include the use of barcode-assisted medication administration (BCMA) and electronic prescribing. Targeted literature searches failed to identify studies relating to BCMA in the oncology setting, but a previous SR investigating the effect of BCMA on the frequency, type, and severity of medication administration errors in the hospital inpatient setting reported BCMA to be associated with a reduction in errors; however, long-term effects on error reduction were often not assessed 42. A recent review identified publications reporting on the implementation of electronic prescribing systems for chemotherapy in ambulatory and inpatient care settings 43.…”

Section: Discussionmentioning

confidence: 99%

Automated compounding technology and workflow solutions for the preparation of chemotherapy: a systematic review

Batson¹,

Mitchell

Lau

et al. 2019

Eur J Hosp Pharm

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ObjectivesThe current systematic review (SR) was undertaken to summarise the published literature reporting the clinical and economic value of automation for chemotherapy preparation management to include compounding workflow software and robotic compounding systems.MethodsLiterature searches were conducted in MEDLINE, Embase and the Cochrane Library on 16 November 2017 to identify publications investigating chemotherapy compounding workflow software solutions used in a hospital pharmacy for the preparation of chemotherapy.Results5175 publications were screened by title and abstract and 18 of 72 full publications screened were included. Grey literature searching identified an additional seven publications. The SR identified 25 publications relating to commercial technologies for compounding (Robotic compounding systems: APOTECAchemo (n=12), CytoCare (n=5) and RIVA (n=1); Workflow software: Cato (n=6) and Diana (n=1)). The studies demonstrate that compounding technologies improved accuracy in dose preparations and reduced dose errors compared with manual compounding. Comparable levels of contamination were reported for technologies compared with manual compounding. The compounding technologies were associated with reductions in annual costs compared with manual compounding, but the impact on compounding times was not consistent and was dependent on the type of compounding technology.ConclusionsThe published evidence suggests that the implementation of chemotherapy compounding automation solutions may reduce compounding errors and reduce costs; however, this is highly variable depending on the form of automation. In addition, the available evidence is heterogeneous, sparse and inconsistently reported. A key finding from the current SR is a ‘call to action’ to encourage pharmacists to publish data following implementation of chemotherapy compounding technologies in their hospital, which would allow for evidence-based recommendations on the benefits of chemotherapy compounding technologies.

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Section: Discussionmentioning

confidence: 99%

Automated compounding technology and workflow solutions for the preparation of chemotherapy: a systematic review

Batson¹,

Mitchell

Lau

et al. 2019

Eur J Hosp Pharm

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“…The right drug, route, dose and time are checked by matching the unique bar-code on every unit or multi-dose medication to those data in the electronic medication administration record (e-MAR). Used appropriately and consistently, BCMA has shown potential to reduce medication administration errors [24] .…”

Section: Medication Error Preventionmentioning

confidence: 99%

Integration of health information technology to improve patient safety

Salyer

2014

JNEP

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Background: Medical errors and unsafe care continue to harm and kill thousands of patients every year, exceeding deaths attributed to motor vehicle accidents, heart failure and breast cancer. It has been more than ten years since the Institute of Medicine (IOM) released two landmark reports that galvanized attention on the scope and severity of the problem and started a national movement to improve patient safety in healthcare. Both of these reports emphasized the role that health information technology (HIT) can play in improving the quality and safety of patient care. This has lead federal and state legislators to prominently feature HIT, patient safety, and quality outcomes in the current health care debate, laws, and payment schemes. The objective of this systematic literature review is to assess current and proposed use of technology to prevent adverse events and the regulatory drivers that are promoting the use of technology for patient safety. Methods: A systematic literature search from 2010-2013 using CINAHL, Cochrane Library, Medline and Ovid (via EBSCO),Google Scholar and government web sites, was conducted to identify technology drivers, advancements and effects in the patient safety areas of electronic health records, patient identification, patient falls, pressure ulcers, and medication errors. Results: Forty four articles were selected for inclusion in this review addressing legal and regulatory drivers for use of technology to support patient safety, and specific technologies to prevent adverse events related to patient identification, patient falls, pressure ulcers, and medication errors. Search criteria included technology to prevent each of these event types, and the Affordable Care Act (ACA), American Reinvestment and Recovery Act (ARRA), and the Health Information Technology for Economic and Clinical Health (HITECH) provisions related to patient safety. Conclusion: Healthcare reform initiatives are promoting an expanded role for HIT in improving the safety and quality of patient care in the U.S. healthcare system. Findings suggest that there are several technologies currently in development and use to prevent adverse events in patients. While patient safety technology shows great promise in preventing error and injury, it also presents potential to harm if not effectively developed, implemented and used. It is an adjunct to, not a replacement of, a skilled and attentive care giver.

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“…Several steps in the entire process such as transcription, dispensing and administration process may have potential risks for serious errors and patient harm [1] [2]. These errors may occur due to human factors that are caused by fatigue, workload, negligence, overlooked information, lack of knowledge and concentration while handling medications [3] [4]. Many studies were conducted, and findings have revealed that large numbers of hospitalized patients are harmed, injured or have experienced adverse drug event (ADE) because of medication errors [5] [6].…”

Section: Introductionmentioning

confidence: 99%

Impact of Bar-Code Medication Administration and Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process

Naidu¹,

Alicia²

2019

Health

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Clinical innovations are ideations resulting from collective experiences that enhance the "norm" and embrace an avenue for change with an invention. As such, collective data that were suggestive of increased medication errors that compromised patient safety initiated the exploration of methods that could reduce multifactorial human errors. The pursuit for an appropriate system followed with the discovery of barcode medication administration system (BCMA) and electronic medication administration system (e-MAR). Prior to the adoption of BCMA and e-MAR, it was crucial to assess the impact of the new medication administration system and the rate of medication administration errors recorded, specifically those that resulted in harm. The purpose of the study was to evaluate BCMA and e-MAR usage outcomes, clinical practices, policies, and processes impacting nurses administering medications in the clinical environment using BCMA and e-MAR system. Thus, an annotated literature review was conducted prior to the implementation of the innovation which analyzed various studies that elaborated on their study methods, data collection and analysis that deliberated on the advantages and disadvantages of barcode medication administration system. It is evident in the researched journals that increased compliance was observed with appropriate guidance, processes and policies in place. There was also a significant reduction in reported errors. The incorporation of barcode technology with electronic medication administration record (e-MAR) had greatly improved the efficiency of the BCMA system. BCMAs method was one of the proposed solutions to medication administration errors and to enhance patient safety measures. As such, the innovation could significantly reduce medication error resulting from intrinsic and extrinsic factors.

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Effects of bar code-assisted medication administration (BCMA) on frequency, type and severity of medication administration errors: a review of the literature

Cited by 31 publications

References 23 publications

Automated compounding technology and workflow solutions for the preparation of chemotherapy: a systematic review

Automated compounding technology and workflow solutions for the preparation of chemotherapy: a systematic review

Integration of health information technology to improve patient safety

Impact of Bar-Code Medication Administration and Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process

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