Treffer: Barcode medication administration system use and safety implications: a data-driven longitudinal study supported by clinical observation.

Title:
Barcode medication administration system use and safety implications: a data-driven longitudinal study supported by clinical observation.
Authors:
Williams R; Centre for Medicines Optimisation Research and Education-CMORE, University College London Hospitals NHS Foundation Trust, London, UK., Kantilal K; Centre for Medicines Optimisation Research and Education-CMORE, University College London Hospitals NHS Foundation Trust, London, UK., Man KKC; Centre for Medicines Optimisation Research and Education-CMORE, University College London Hospitals NHS Foundation Trust, London, UK.; Research Department of Practice and Policy, School of Pharmacy, University College London, London, UK., Blandford A; UCL Interaction Centre-UCLIC, Department of Computer Science, University College London, London, UK., Jani Y; Centre for Medicines Optimisation Research and Education-CMORE, University College London Hospitals NHS Foundation Trust, London, UK y.jani@ucl.ac.uk.; Research Department of Practice and Policy, School of Pharmacy, University College London, London, UK.
Source:
BMJ health & care informatics [BMJ Health Care Inform] 2025 Jan 19; Vol. 32 (1). Date of Electronic Publication: 2025 Jan 19.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: BMJ Publishing Country of Publication: England NLM ID: 101745500 Publication Model: Electronic Cited Medium: Internet ISSN: 2632-1009 (Electronic) Linking ISSN: 26321009 NLM ISO Abbreviation: BMJ Health Care Inform Subsets: MEDLINE
Imprint Name(s):
Original Publication: London : BMJ Publishing, [2019]-
MeSH Terms:
Medication Systems, Hospital*/statistics & numerical data , Medication Errors*/prevention & control , Patient Safety* , Electronic Data Processing*, Humans ; Longitudinal Studies ; Retrospective Studies ; Quality Improvement
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Contributed Indexing:
Keywords: Electronic Health Records; Health Services Research; Medical Informatics
Entry Date(s):
Date Created: 20250120 Date Completed: 20250502 Latest Revision: 20250706
Update Code:
20250707
PubMed Central ID:
PMC11784319
DOI:
10.1136/bmjhci-2024-101214
PMID:
39832825
Database:
MEDLINE

Weitere Informationen

Objectives: Barcode medication administration (BCMA) systems may improve patient safety with successful integration and use. This study aimed to explore the barriers and enablers for the successful use of a BCMA system by examining the patterns of medication and patient scanning over time and potential safety implications.
Methods: Retrospective longitudinal study informed by prospective clinical observations using data extracted from five hospital wards over the first 16 months after implementation to determine trends in medication and patient scanning rates, reasons for non-compliance and scanning mismatch alerts. Regression models were applied to explore factors influencing medication scanning rates across wards of different specialties.
Results: Electronic data on 613 868 medication administrations showed overall medication scanning rates per ward ranged from 5.6% to 67% and patient scanning rates from 4.6% to 89%. Reported reasons for not scanning medications were 'barcode not readable' and 'unavailability of scanners'. Scanning rates declined over time and the pattern of reason codes for not scanning also changed. Factors associated with higher scanning rates included a locally led quality improvement (QI) initiative, the medication administration time and the medication formulation, for example, tablets and liquids. Overall, 37% of scanning alerts resulted in a change in user action. Staff tried to comply with the BCMA system workflow, but workarounds were observed.
Discussion: Compliance with BCMA systems varied across wards and changed over time. QI initiatives hold promise to ensure sustained use of BCMA systems.
Conclusions: BCMA systems may help to improve medication safety, but further research is needed to confirm sustained safety benefits.
(© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.)

Competing interests: None declared.