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Abstract
Purpose
The purpose of this study was to assess the clinical application of a bar code medication administration and blood transfusion system and to identify its effects from the aspect of patient safety and nurse satisfaction in a tertiary hospital.
Methods
The system in this study was PDA with bar code reading capability and wireless networking function. The logs created during application of the system and administration error reports were analyzed. For nurses' satisfaction with the system, data were collected from 337 nurses using the instrument developed by Otieno et al. and analyzed using descriptive statistics.
Results
The system application rate was 98.8%, and the main failure cases in the system application included bar code or network related factors. When the system was applied, 0.02% of errors were prevented. The nurses were satisfied with the system from the aspect of patient safety, however relatively less satisfied with the system from the aspect of work efficiency.
Conclusion
The results of the study indicate the usefulness for patient safety of applying the bar code medication administration and blood transfusion system to clinical practice. However technological improvements including bar code and network communication are necessary to ensure higher work efficiency in nursing practice.
Figures and Tables
Figure 2
System application, warnings, and errors generated by the bar code medication administration
Table 1
Cases of Failure of the Bar Code Medication Administration and Blood Transfusion System Application
References
1. Armitage G, Knapman H. Adverse events in drug administration: a literature review. J Nurs Manag. 2003. 11(2):130–140.
2. Aulbach P, Brient K, Clark M, Custard K, Davis C, Gecomo J, et al. Blood transfusions in critical care: improving safety through technology and process analysis. Crit Care Nurs Clin North Am. 2010. 22(2):179–190.
3. Barker K, Flynn E, Pepper G, Bates D, Mikeal R. Medication errors observed in 36 health care facilities. Arch Intern Med. 2002. 162(16):1897–1903.
4. Bennardello F, Fidone C, Cabibbo S, Calabrese S, Garozzo G, Casarino G, et al. Use of an identification system based on biometric data for patients requiring transfusions guarantees transfusion safety and traceability. Blood Transfus. 2009. 7(3):193–203.
5. Choi JS, Kim DS. Technical Considerations for successful implementation of a barcode-based medication system in hospital. J Korean Soc Med Inform. 2009. 15(3):303–312.
6. Crigger NJ, Meek VL. Toward a theory of self-reconciliation following mistakes in nursing practice. J Nurs Scholarsh. 2007. 39(2):177–183.
7. Deyoung J, Vanderkooi M, Barletta J. Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. Am J Health Syst Pharm. 2009. 66(12):1110–1115.
8. Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009. 18(2):103–109.
9. Gray A, Hart M, Dalrymple K, Davies T. Promoting safe transfusion practice: right blood, right patient, right time. Br J Nurs. 2008. 17(13):812–817.
10. Helmons P, Wargel L, Daniels C. Effect of bar-code-assisted medication administration on medication administration errors and accuracy in multiple patient care areas. Am J Health Syst Pharm. 2009. 66(13):1202–1210.
11. Huang HY, Lee TT. Impact of bar-code medication administration on nursing activity patterns and usage experience in Taiwan. Comput Inform Nurs. 2011. 29(10):554–563.
12. Hurley AC, Bane A, Fotakis S, Duffy ME, Sevigny A, Poon EG, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007. 37(7-8):343–349.
13. Institute of Medicine of the National Academies. Preventing medication errors: quality chasm series. 2007. Washgton: The National Academies Press.
14. Jung EY, Park RW, Lim YS, Hwang HJ, Lee YH, Jeong KS, et al. Development and application of the RFID system for patient safety. J Korean Soc Med Inform. 2009. 15(4):433–444.
15. Kang SK, An YE, Soe JW, Park JA. Web-based RFID management system for the medical equipments. J Korean Inst Inf Technol. 2011. 9(3):77–84.
16. Keohane CA, Bane AD, Featherstone E, Haves J, Woolf S, Hurley A, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2008. 38(1):19–26.
17. Kim CS, Kang SS. Design and implementation of RFID application system for hospital information system. J Korean Soc Med Inform. 2005. 11(4):399–407.
18. Kim DS, Kim JC, Kim SH, Yoo SK. A study on the patient location monitoring system based on RFID. J Korean Soc Med Inform. 2009. 15(1):41–48.
19. Koppel R, Wetterneck T, Telles JL, Karsh BT. Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 2008. 15(4):408–423.
20. Marini S, Hasman A, Huijer H, Dimassi H. Nurses' attitudes toward the use of the bar-coding medication administration system. Comput Inform Nurs. 2010. 28(2):112–123.
21. Mims E, Tucker C, Carlson R, Schneider R, Bagby J. Quality-monitoring program for bar-code-assistedmedication administration. Am J Health Syst Pharm. 2009. 66(12):1125–1131.
22. Min DK, Kim EJ, Lee EJ, Seol TR. Research on an application model of RFID technology for patient safety: a case of Y hospital. Entrue J Inf Technol. 2006. 5(1):91–102.
23. O'malley P. Think bar-code medication administration eliminates adverse drug events? Think again! Clin Nurse Spec. 2008. 22(6):269–270.
24. Otieno OG, Toyama H, Asonuma M, Kanai-Pak M, Naitoh K. Nurses' views on the use, quality and user satisfaction with electronic medical records: questionnaire development. J Adv Nurs. 2007. 60(2):209–219.
25. Pagliaro P, Turdo R, Capuzzo E. Patients' positive identification systems. Blood Transfus. 2009. 7(4):313–318.
26. Patterson ES, Rogers ML, Render ML. Fifteen best practice recommendations for bar-code medication administration in the Veterans Health Administration. Jt Comm J Qual Saf. 2004. 30(7):355–365.
27. Sakowski J, Leonard T, Colburn S, Michaelsen B, Schiro T, Schneider J, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Am J Health Syst Pharm. 2005. 62(24):2619–2625.
28. Sari AB, Sheldon TA, Cracknell A, Turnbull A, Dobson Y, Grant C, et al. Extent, nature and consequences of adverse events: results of a retrospective case note review in a large NHS. Qual Saf Health Care. 2007. 16(6):434–439.
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