Barcode medication administration work-arounds: a systematic review and implications for nurse executives.
Safe medication administration is necessary to ensure quality healthcare. Barcode medication administration systems were developed to reduce drug administration errors and the related costs and improve patient safety. Work-arounds created by nurses in the execution of the required processes can lead to unintended consequences, including errors. This article provides a systematic review of the literature associated with barcoded medication administration and work-arounds and suggests interventions that should be adopted by nurse executives to ensure medication safety.
Author Affiliations: Professor of Nursing (Dr Voshall), Graceland University, Independence, Missouri; Assistant Professor (Dr Piscotty), College of Nursing, Wayne State University, Detroit, Michigan; Certified Registered Nurse Anesthetist, (Dr Lawrence), Presbyterian Orthopedic Hospital, Charlotte, North Carolina; Pediatric Nurse Practitioner (Dr Targosz), Troy, Michigan.
Barbara
B
Voshall
Ronald
R
Piscotty
Jeanette
J
Lawrence
Mary
M
Targosz
D001330:Electronic Data Processing / Q000458:organization & administration*; D006801:Humans; D008508:Medication Errors / Q000451:nursing* / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D009718:Nurse Administrators / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D061214:Patient Safety; D017751:Safety Management / Q000379:methods*