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Updated: Jun 2, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Scanning for safety: an integrated approach to improved bar-code medication administration.
Cynde Early1, Chris Riha, Jennifer Martin
1Carilion Roanoke Memorial Hospital, Roanoke, VA 24014, USA.
Computers, Informatics, Nursing : CIN
|May 13, 2011
Summary
Improving bar-code medication administration (BCMA) compliance from 82% to 97% enhanced patient safety and avoided over $2.8 million. This review highlights key lessons learned for successful BCMA implementation and sustained use in hospitals.
Area of Science:
- Health Informatics
- Patient Safety
- Healthcare Management
Background:
- A major tertiary-care hospital implemented bar-code medication administration (BCMA) technology in 2001.
- By 2006, BCMA scan compliance was 82%, but a near-miss event highlighted systemic issues.
- Problems led to frequent manual overrides, undermining safeguards and patient safety.
Purpose of the Study:
- To review lessons learned from the postimplementation evaluation of BCMA technology.
- To identify and address multifaceted problems hindering BCMA effectiveness.
- To recommit to a culture of safety through technology optimization.
Main Methods:
- A multiprofessional team (nursing, pharmacy, HR, quality, technical services) was formed.
- Each step of the BCMA process underwent thorough review.
- Systematic identification and implementation of technology, process, and educational solutions.
Main Results:
- Overall BCMA compliance increased significantly from 82% to 97%.
- Manual overrides decreased, strengthening safety protocols.
- A calculated cost avoidance of over $2.8 million was achieved.
Conclusions:
- Systematic review and multiprofessional collaboration are crucial for BCMA success.
- Addressing technology, process, and education is key to overcoming implementation challenges.
- Enhanced BCMA compliance directly contributes to improved patient safety and cost savings.
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