Related Experiment Video
Updated: Oct 30, 2025
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
4.6K
Interdisciplinary systematic review: does alignment between system and design shape adoption and use of barcode
Rachel Williams1, Reham Aldakhil2, Ann Blandford3
1Centre for Medicines Optimisation Research and Education, University College London NHS Foundation Trust, London, UK.
BMJ Open
|July 2, 2021
Summary
Barcode Medication Administration (BCMA) adoption is influenced by human factors. Improving BCMA safety requires addressing design-workflow misalignments and implementing collaborative design approaches with end-users.
Area of Science:
- Healthcare technology adoption
- Human-computer interaction
- Patient safety research
Background:
- Barcode Medication Administration (BCMA) systems are crucial for reducing medication administration errors.
- Understanding human factors is key to optimizing BCMA adoption and usability.
- This research examines the intersection of human factors with BCMA implementation in healthcare.
Purpose of the Study:
- To synthesize research on human factors influencing Barcode Medication Administration (BCMA) use.
- To identify determinants of BCMA adoption and usability across healthcare and human-computer interaction disciplines.
- To inform improved design and implementation strategies for BCMA systems.
Main Methods:
- Systematic literature search across four databases (CINAHL, PubMed, OVID MEDLINE, Google Scholar) from April 2000 to April 2020.
- Inclusion of primary research using a human factors lens for BCMA use.
- Thematic analysis of 11 eligible studies, with themes validated by a second reviewer and supervisors.
Main Results:
- Eleven studies revealed overlapping themes from clinical and HCI perspectives, highlighting consensus on key issues.
- Prevalent themes included workflow-design misalignment, workarounds, user perceptions, and safety concerns.
- Inadequate design often led to workarounds that compromised patient safety; mediating factors were identified to address these issues.
Conclusions:
- Interdisciplinary evaluation of human factors reveals complementary enablers and barriers to BCMA success.
- Mediating factors are often developed to compensate for suboptimal system design.
- Collaborative design involving system developers and end-users is essential for realizing BCMA's full safety potential.
Related Concept Videos
01:14SBAR II: Application of SBAR
5.2K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.2K
01:29SBAR I: Understanding the Concept
5.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
5.3K
01:28Dosage Regimens: Designs and Approaches
69
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
69
01:15Methods of Documentation VI: Case Management Model
670
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
670
01:30Health Information Technology and Healthcare Information System
1.0K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.0K
01:28Structure-Activity Relationships and Drug Design
1.2K
Drug design is a dynamic field that involves discovering and developing new medications based on specific biological targets. This process heavily relies on structure-activity relationships (SAR) and quantitative structure-activity relationships (QSAR) to guide the design and optimization of efficient drugs.
SAR studies the intricate relationship between a drug's chemical structure and biological activity. It focuses on understanding how modifications to a drug's structure can influence...
SAR studies the intricate relationship between a drug's chemical structure and biological activity. It focuses on understanding how modifications to a drug's structure can influence...
1.2K