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Article

An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow at a UK Teaching Hospital

1
Department of Practice and Policy, UCL School of Pharmacy, University College London, London WC1N 1AX, UK
2
Centre for Medication Safety and Service Quality, Pharmacy Department, Imperial College Healthcare NHS Trust, London W6 8RF, UK
*
Author to whom correspondence should be addressed.
Pharmacy 2020, 8(3), 148; https://doi.org/10.3390/pharmacy8030148
Received: 27 July 2020 / Revised: 10 August 2020 / Accepted: 15 August 2020 / Published: 19 August 2020
Barcode medication administration (BCMA) is advocated as a technology that reduces medication errors relating to incorrect patient identity, drug or dose. Little is known, however, about the impact it has on nursing workflow. Our aim was to investigate the impact of BCMA on nursing activity and workflow. A comparative study was conducted on two similar surgical wards within an acute UK hospital. We observed nurses during drug rounds on a non-BCMA ward and a BCMA ward. Data were collected on drug round duration, timeliness of medication administration, patient identification, medication verification and general workflow patterns. BCMA appears not to alter drug round duration, although it may reduce the administration time per dose. Workflow was more streamlined, with less use of the medicines room. The rate of patient identification increased from 74% (of 47) patients to 100% (of 43), with 95% of 255 scannable medication doses verified using the system. This study suggests that BCMA does not affect drug round duration; further research is required to determine the impact it has on timeliness of medication administration. There was reduced variability in the medication administration workflow of nurses, along with an increased patient identification rate and high medication scan rate, representing potential benefits to patient safety. View Full-Text
Keywords: barcode medication administration (BCMA); nurses’ workflow; inpatient setting; drug round barcode medication administration (BCMA); nurses’ workflow; inpatient setting; drug round
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MDPI and ACS Style

Barakat, S.; Franklin, B.D. An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow at a UK Teaching Hospital. Pharmacy 2020, 8, 148. https://doi.org/10.3390/pharmacy8030148

AMA Style

Barakat S, Franklin BD. An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow at a UK Teaching Hospital. Pharmacy. 2020; 8(3):148. https://doi.org/10.3390/pharmacy8030148

Chicago/Turabian Style

Barakat, Sara, and Bryony D. Franklin. 2020. "An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow at a UK Teaching Hospital" Pharmacy 8, no. 3: 148. https://doi.org/10.3390/pharmacy8030148

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