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Association Between Workarounds and Medication Administration Errors in Bar Code-Assisted Medication Administration:

Willem van der Veen1, Patricia Mla van den Bemt2, Maarten Bijlsma1

  • 1Faculty of Science and Engineering, Unit PharmacoTherapy, -Epidemiology & -Economics, University of Groningen, Groningen, Netherlands.

JMIR Research Protocols
|April 30, 2017
PubMed
Summary

Workarounds in bar code-assisted medication administration (BCMA) systems are linked to medication administration errors (MAEs). Understanding these workarounds is key to improving patient safety and reducing MAEs in hospitals.

Keywords:
BCMAbar code-assisted medication administration systemsbar coded medication administrationmedication administration errorsmedication safety, hospitalsworkarounds

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Area of Science:

  • Healthcare technology
  • Patient safety
  • Clinical informatics

Background:

  • Bar code-assisted medication administration (BCMA) systems aim to reduce medication administration errors (MAEs) in hospitalized patients.
  • However, system non-adherence and workarounds are common, potentially leading to patient harm.
  • This study investigates the relationship between BCMA workarounds and MAEs.

Purpose of the Study:

  • To examine the association between workarounds and MAEs within the BCMA process.
  • To determine the frequency and types of workarounds and MAEs encountered.
  • To explore potential risk factors contributing to BCMA workarounds.

Main Methods:

  • A multicenter prospective study conducted in four Dutch hospitals.
  • Involved direct observation of 6000 individual drug administrations on internal medicine and surgical wards.
  • Utilized BCMA systems for medication administration data collection.

Main Results:

  • Data collection was completed between 2014 and 2016.
  • Analysis is ongoing, with initial results anticipated by late 2017.
  • Specific findings on the association between workarounds and MAEs are pending publication.

Conclusions:

  • Establishing a link between workarounds and MAEs can inform strategies to reduce error frequency.
  • Identifying determinants of workarounds will enable targeted interventions to enhance patient safety.
  • Optimizing BCMA system use is crucial for minimizing medication administration errors.