Effects of technological interventions on the safety of a medication-use system

Skibinski, Kathleen; White, Barbara A.; Li, Lin; Yu-ping, Dong; Wu, Wenting

doi:10.2146/ajhp060060

Cited by 41 publications

(40 citation statements)

References 11 publications

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“…6 did not report data specific to overall MAE after implementation. 17 Power calculations were conducted to determine whether power was sufficient to detect a change in error rates. Of 6 studies, 3 report sufficient power (Q99%).…”

Section: Overall Medication Error Rates Before and After Implementationmentioning

confidence: 99%

“…6 reported an absolute decrease that was significant (P = 0.003). 17 Study no. 2 reported an absolute decrease that was not significant.…”

Section: Right Patientmentioning

confidence: 99%

“…1 and 6 both reported absolute decreases in MAE relating to right time, which were significant (P = 0.00). 13,17 Study nos. 2, 3, and 5 reported absolute increases in MAE relating to right time, with nonsignificant findings.…”

Section: Right Timementioning

confidence: 99%

“…2, 5, and 6 reported a decrease in MAE relating to right dose. 14,16,17 Study no. 6 reported an absolute error rate reduction that was significant (P = 0.00).…”

Section: Right Dosementioning

confidence: 99%

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Bar Code Technology and Medication Administration Error

Young

Slebodnik²,

Sands³

2010

Journal of Patient Safety

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Medication administration error (MAE) remains a patient safety concern. Few studies have investigated the impact of bar-coded technology on medication error reduction during the medication administration process at the bedside in acute care settings. The purpose and focus of this systematic review is to determine whether implementation of the Bar Code Medication Administration System (BCMA) is associated with declines in MAE rate. Findings from this systematic review reveal varied findings between studies and among the 5 rights of medication administration (right drug, right time, right patient, right dose, and right route) in general. Although BCMA did not consistently decrease the overall incidence of MAE, the technology did identify categories of medication errors not previously detected with the traditional 5 rights approach. The opportunity to analyze the additional categories of MAE identified by BCMA has implications for patient safety and is perhaps the most significant contribution of this review.

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Section: Overall Medication Error Rates Before and After Implementationmentioning

confidence: 99%

“…6 reported an absolute decrease that was significant (P = 0.003). 17 Study no. 2 reported an absolute decrease that was not significant.…”

Section: Right Patientmentioning

confidence: 99%

Section: Right Timementioning

confidence: 99%

“…2, 5, and 6 reported a decrease in MAE relating to right dose. 14,16,17 Study no. 6 reported an absolute error rate reduction that was significant (P = 0.00).…”

Section: Right Dosementioning

confidence: 99%

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Bar Code Technology and Medication Administration Error

Young

Slebodnik²,

Sands³

2010

Journal of Patient Safety

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“…7,8 When utilized with careful supervisory oversight, these devices have been shown to decrease medication administration errors. [9][10][11][12] For this reason, professional pharmacy organizations generally are supportive of implementation and utilization of ADCs in institutional patient care areas. 13 ADCs designed for use within the hospital pharmacy are likewise available (eg, NarcStation from Aesynt; Pyxis C II Safe from CareFusion).…”

Section: Electronic Inventory Systems and Barcode Technologymentioning

confidence: 99%

Electronic Inventory Systems and Barcode Technology: Impact on Pharmacy Technical Accuracy and Error Liability

Oldland¹,

Golightly²,

May³

et al. 2015

Hospital Pharmacy

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Purpose: To measure the effects associated with sequential implementation of electronic medication storage and inventory systems and product verification devices on pharmacy technical accuracy and rates of potential medication dispensing errors in an academic medical center. Methods: During four 28-day periods of observation, pharmacists recorded all technical errors identified at the final visual check of pharmaceuticals prior to dispensing. Technical filling errors involving deviations from order-specific selection of product, dosage form, strength, or quantity were documented when dispensing medications using (a) a conventional unit dose (UD) drug distribution system, (b) an electronic storage and inventory system utilizing automated dispensing cabinets (ADCs) within the pharmacy, (c) ADCs combined with barcode (BC) verification, and (d) ADCs and BC verification utilized with changes in product labeling and individualized personnel training in systems application. Results: Using a conventional UD system, the overall incidence of technical error was 0.157% (24/15,271). Following implementation of ADCs, the comparative overall incidence of technical error was 0.135% (10/7,379; P = .841). Following implementation of BC scanning, the comparative overall incidence of technical error was 0.137% (27/19,708; P = .729). Subsequent changes in product labeling and intensified staff training in the use of BC systems was associated with a decrease in the rate of technical error to 0.050% (13/26,200; P = .002). Conclusions: Pharmacy ADCs and BC systems provide complementary effects that improve technical accuracy and reduce the incidence of potential medication dispensing errors if this technology is used with comprehensive personnel training.

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