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Related Experiment Videos

Using bar-code technology and medication observation methodology for safer medication administration.

Richard D Paoletti1, Tina M Suess, Michael G Lesko

  • 1Pharmacy Services, Lancaster General Hospital (LGH), 555 North Duke Street, Lancaster, PA 17604, USA. rdpaolet@lancastergeneral.org

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|February 27, 2007
PubMed
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Implementing electronic medication administration records (EMARs) and bar-coded medication administration (BCMA) significantly reduced medication errors by 54%. This multidisciplinary approach enhanced patient safety through improved data collection and technology deployment.

Area of Science:

  • Healthcare Technology
  • Patient Safety
  • Clinical Informatics

Background:

  • Medication errors pose a significant risk to patient safety in healthcare settings.
  • Traditional medication administration methods are prone to errors.
  • A multidisciplinary approach is crucial for effective error reduction strategies.

Purpose of the Study:

  • To describe the implementation of a multidisciplinary approach to reduce medication errors.
  • To evaluate the impact of electronic medication administration records (EMARs) and bar-coded medication administration (BCMA) on medication safety.

Main Methods:

  • Direct observation methodology was employed for data collection in a pre-implementation and post-implementation study design.
  • Three inpatient nursing units participated: one control group and two intervention groups.

Related Experiment Videos

  • Intervention groups utilized EMAR and BCMA technology, while the control group continued with a manual medication administration record (MAR).

    • Main Results:

    • The direct-observation accuracy rate for medication administration increased from 86.5% before BCMA to 97% after implementation.
    • A total of 188 medication errors were reported during the pre-implementation phase.
    • The study observed a 54% reduction in medication administration errors following the implementation of EMAR and BCMA.

    Conclusions:

    • The deployment of EMAR and BCMA, coupled with a multidisciplinary approach, significantly enhances medication administration accuracy.
    • Direct-observation methodology provides a reliable approach for measuring medication errors.
    • Collaborative efforts between pharmacy, nursing, and information services are vital for successful technology implementation and improved patient safety.