Medicationadministration is one critical responsibility of nursing staff within thehospital setting. If medications are not carefully administered, patient safetycan be compromised. The increase of medication errors has facilitated thedevelopment of medication administration software. Advanced technologicalcapacities, such as bar-coding, reduces medication errors and increases patientsafety. When a barcode is scanned, themedication is identified, and dosing errors can be recognized. Research studiessuggest that healthcare technology provided many benefits including maximizingpatient safety. A summary of these findingswill be discussed in my research below.
ClinicalProblemWillthe implementation of bar coding patient medications change the amount oferrors in hospitalized adults? Without abarcode, the probability of medication errors increases because of human error.Due to the prevalence of medication errors, studies have been performed whichprompted the introduction of bar coding software. Studies have shown thatbar-coding has become essential, but nurses must continue to review and verifymedications by using the five rights. These include the right patient, drug,dose, route and the right time prior to administration.
The implementation of technology basedmedication administration has created an additional validation measure thatnurses should actively utilize. Thepurpose of this study is to support that the implementation of bar coding willreduce medication errors within the hospital setting. PICOQuestionArehospitalized adults who have had their medication scanned by a nurse by usingthe bar-code system before administration at a lower risk for medication errorsopposed to hospitalized adults who did not have their medications scanned? Medication errors have become one of thecauses of death in some patients and through research and evidence we see thatthis has affected the level of care and patient satisfaction in many hospitals.According to Gann(2015) “Death due to medication errors became the eighthleading cause of mortality in the United States” (p.
60) Because of this problemhealthcare technologies have made changes and incorporated bar codes onmedication to decrease errors and make it safe. Having this technology formedications will secure that patient’s medication will be correctlyadministrated compared to when this technology did not exist. Poon et al.
,(2010), states that ” the use ofbar-code eMAR substantially reduced the rate of errors in order transcriptionand in medication administration as well as potential adverse drug events.”(p.698)SearchTermsThe database used toresearch the evidence was: EBSCO HOST, Health Source: nursing/ Academic Edition.The search terms used were bar code, medication, errors, nursing LiteratureReviewTheimplementation of bar coding medications has reduced the number of errors.According research studies healthcare technology has introduced a system that ishelping with the problem of medication errors. Reducing the amount ofmedication errors within hospitals will increase in the safety of our patients. Fowler,Sohler, & Zarillo (2009) state that, “Using a bar-coded administrationsystem provides a safe mechanism for delivering medication throughout theentire process, from medication ordering to patient consumption.
“(p.109) In onestudy done by Sakushima, Umeki, Endoh, Ito, & Nasuhara resulted in a totalof 2867 errors found in a university hospital in which they electronicallyreported wrong drug administration, but after the implantation of bar coding itsignificantly decreased. ( 2015). Bar-coding has becoming an importanttechnological tool in the healthcare system as this new system came about sodid the need for training and practice come with it. This new implementationhas brought positive results, but with that comes the hard work to startimplementing this in all hospitals which did take some time and effort. As weknow when something new is brought into place in a work place it takes time toadapt and learn how to correctly use a tool that will be beneficial to the workarea.
“A change in any medication administration system is a multidisciplinaryprocess that requires members of the health care team to make adjustments andthoughtfully plan for successful implementation.” (Fowler, Sohler,& Zarillo,2009, p. 108). Literature reviewed indicates that using barcode medication administrationgreatly decreases errors in medication administration. “Veterans Affairsmedical center reviewed medication error reduction at 1 and 5 years post barcoding medication administration implementation and reported medication errorreduction of 23% and 66% at 1 year and 5 years.” (Coye, Heinen, 2005). Practice RecommendationsUponmy research there are three practice recommendations.
The first one is from thejournal article titled “Time Trend ofinjection drug errors before and after implementation of bar-coded verificationsystem”. In this study they reported medication errors before and after theuse of bar coded medication and detected 2867 errors related to injected drugsin a university hospital. This should that the implementation of a bar codedsystem is effective for preventing and decreasing the amount of errors in ahospital. “Health care information technology can play an important role in theprevention of medical errors caused by human factors. “Recently, the bar codehas become a useful tool for patient management, especially in terms of medicalsafety, throughthe use of bar code medication administration at hospitals.” (Sakushima,Umeki, Endoh, Ito, & Nasuhara, 2015, p.
268). The second recommendation, wasdone by Paoletti, et al., in where they used a direct observation technique inwhich two different nursing units participated, a 20-bed cardiac unit, a 36-bedmedical surgical unit. It concluded that “A 54% reduction of medicationadministration errors was observed following implementation ofmultidisciplinary, collaborative approach to medication safety.
” ( Paoletti etal., 2007, p. 536). I see through this study that using a barcode system doeshave a major impact in a hospital setting and will not only benefit thepatients but the nurses. The third and last recommendation comes from aresearch titled “Bar-code Technology forMedication Administration: Medication Errors and Nurse Satisfaction” inthis article the authors find research from other studies that show how barcode mediation has helped hospitals decrease the amount of medication errors.
In one report it concluded that it was another useful tool to use beside thefive rights. Fowler, Sohler & Zarillo state that “Point of careadministration of medication with bar-coded scanning allows verification of thefive rights of medication administration( Sakowski et al., 2005)ConclusionInconclusion, there are many errors that occur in hospital, but medicationadministration is one of the errors that can be avoided by using more than justour own eyes but by using technology together. The research from my evidencehas shown that using a bar-coding medication administration system has improveddeath rates and the quality and safety of the patients in hospitals.
Technologywithin healthcare has become imperative to daily operations within the healthcar.