Sunday, September 30, 2012

Scanning for Safety An Integrated Approach to Improved Bar-Code Medication Administration


Early, C., Riha, C., Martin, J., Lowdon, K. W., & Harvey, E. M. (2011). Scanning for safety an integrated approach to improved bar-code medication administration. Computers, Informatics, Nursing, 29(3), 157-164. doi:10.1097/NCN.0b013e3181fc416d
These authors review a study on how bar code scanning reduces medication errors, cost and length of stay (LOS). This study was conducted on a total of seven small and large hospitals that had Bar Code Medication Administration (BCMA) in use. They looked at statistics related to bar code scanning, overrides and medication errors. Every month they improved the BCMA system by making a single change. The changes that were made month to month were near miss events, leadership education, adding thermal printers, educating the staff, changing to insulin pens, upgrading the wireless system, obtaining improved scanners and requiring verification by a second person when there was a mismatch. By increasing BCMA compliance they reduced the cost related to medication errors by $2,860,752 dollars and decreased the LOS by 1476.6 days within a year. This study showed that by improving the BCMA system more nurses were less likely to override the BCMA system which resulted in less medication errors (Early, Riha, Martin, Lowdon & Harvey, 2011). This study shows that when safety precautions are used properly better patient outcomes can be expected.