Implementing Barcode Medication Administration in Hospitals
Creating Change in Organizations/HCS587
April 1, 2013
Dr. Sonnia Oliva
Change needs to be evaluated after implementation to determine its effectiveness. The organization and management need to continually monitor BCMA to make sure the organization is benefiting from it and to modify components if necessary. Outcome measurement strategies for BCMA are not conclusive but single studies show its positive impact on patient safety. Additionally, cost, quality, and staff satisfaction are important when determining the effectiveness of BCMA and they all support the use of BCMA as technology that increases patient ...view middle of the document...
The recommendations are as follows:
1. Assemble a BCMA interdisciplinary committee.
2. Adequately train all users and cross-train pharmacists and some physicians.
3. Communicate with users about known problems.
4. Make contact information for resources that correct BCMA problems readily accessible for staff.
5. Do not have a paper and BCMA system.
6. Schedule downtimes for the system.
7. Have extra equipment when a system is malfunctioning and being serviced.
8. Create a procedure for the cleaning of the BCMA equipment.
9. Always scan patient’s wristbands before the administration of medication.
10. Health care providers that use BCMA should document when the medication is administered.
11. Make sure to check allergy medication before medication is administered.
12. Nurses should be given a medication report for each patient to be used as a worksheet to see at what medications their patients were already given.
13. Missed medication reports should be printed by nurses every shift.
14. Nurses should be alerted when there are stat orders.
15. Patient’s wristbands should be replaced when needed, such as when the barcode is not easily read, and wristbands should be changed periodically on patients that are in long-term care.
The effectiveness of BCMA should improve if the staff follows the above recommendations set forth by the VHA (Patterson et al., 2004). Improvements or effectiveness can be determined afterwards with nurse informatics specialists, interviews, and data collected regarding information about medication errors. Although it must be understood that any advanced technology that is developed to administer medication to patients will not be 100% effective because of the human component. Sometimes staff will choose to “circumvent” the system, so the 15 recommendations should be reinforced to employees to increase patient safety and obviate medication errors (Fahrni, 2009, para. 4). Monitoring change effectiveness is an ongoing process to adapt it for the progress of the organization.
Outcome Measurement Strategies
As with all technology, “The key initial outcomes of technology are effectiveness, efficiency and user (i.e., nurse) and patient satisfaction with the device (Powell-Cope, Nelson, & Patterson, 2008, p. 4). So, the goal of technology and BCMA is to reduce medication administration errors by:
1. completely eliminating them and the adverse events they cause
2. decreasing the frequency of medication error
3. having the ability to see the errors before they cause a sentinel event, and
4. decreasing the impact of medication errors (Powell-Cope et al., 2008). Although sparse, there have been studies conducted on BCMA that have found that there is improved efficiency and costs with its use. There have been many single studies showing BCMA’s effectiveness using different strategies. One such study occurred in Kansas. Data collected at a...