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NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

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    NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

    Student Name

    Capella University

    NURS-FPX4040 Managing Health Information and Technology

    Prof. Name

    Date

    Electronic Medication Administration with Barcoding

    Electronic medication administration with barcoding is an advanced healthcare information technology that can improve patient safety and medication efficiency. Medication errors account for 7,000 to 9,000 deaths in the U.S. every year. The costs associated with additional treatment due to medication errors exceed $40 billion annually. Moreover, patients who experience medication errors suffer from physical, emotional, psychological, and financial implications, leading to reduced patient satisfaction and distrust in healthcare systems (Tariq & Scherbak, 2023). Given these alarming statistics, I was compelled to explore this healthcare technology’s potential in preventing medication errors and their subsequent consequences.

    Through barcode medication administration (BCMA), healthcare professionals can enhance patient safety by minimizing medication errors due to wrong drug administration. Moreover, it will improve the quality of care, promote interdisciplinary team collaboration, and enhance patient safety. I used Google Scholar, PubMed, CINAHL, JSTOR, and Scopus to research this technology thoroughly. Moreover, I used different search terms to get broader data on this topic, including “Barcode medication administration,” “Electronic medication administration with barcode,” “Medication errors reduction with BCMA,” “BCMA and patient safety,” and “BCMA and quality of care.”

    Annotated Bibliography

    Jessurun, J. G., Hunfeld, N. G. M., van Rosmalen, J., van Dijk, M., & van den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: An uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), 1–8. https://doi.org/10.1093/intqhc/mzab142

    This article by Jessurun and colleagues (2021) emphasizes the impact of automated dispensing systems and medication administration using barcode technology on medication administration errors. Moreover, the study highlights how using composite technologies reduces the prevalence of medication errors. Lastly, this study shows that nurses’ satisfaction is enhanced as they utilize this technology to provide an accurate and better quality of care with minimal chances of medication administration errors. According to this resource, rates of medication errors due to wrong doses declined from 3.8% to 2.1%, showing its effectiveness in reducing the probability of medication administration errors from 19.5% to 15.8%.

    Moreover, it showed that patient safety was improved as nurses used this technology with enhanced quality of care. This technology is relevant to nursing practices as it is directly related to medication administration in which nurses are primarily involved. Moreover, this technology enhances interdisciplinary team collaboration as IT personnel and nurses collaborate in its practical use. Therefore, this resource is helpful for nurses to delve into deeply as it can enlighten them on how to use it to improve patient safety and quality of care while integrating interdisciplinary team collaboration.

    Küng, K., Aeschbacher, K., Rütsche, A., Goette, J., Zürcher, S., Schmidli, J., & Schwendimann, R. (2021). Effect of barcode technology on medication preparation safety: A quasi-experimental study. International Journal for Quality in Health Care, 33(1). https://doi.org/10.1093/intqhc/mzab043

    NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

    This annotated bibliography focuses on how barcode technology can reduce medication preparation time and errors. Moreover, the time-based staff performance was also assessed. The results showed that patient safety was greatly enhanced as the wrong medication and dosage errors were declined post-implementation of this technology. After barcode technology use, the time required to prepare medication for a 24-hour was also reduced (from 30.2 min to 17.2 min).

    This resource shows that using barcode medication preparation and administration enhances patient safety and quality of care while improving nurses’ work efficiency and productivity. This source highlights the relevance of this technology with nursing practices as the nurses’ work productivity is enhanced, and the preparation time is reduced along with a decrease in medication errors from 270 to 190. Interdisciplinary teams collaboratively use this technology for measuring the data of medication errors and driving quality improvements based on estimated data. Hence, this resource is helpful for nurses, health administrators, IT professionals, and quality improvement departments to revise changes accordingly in technology implementation. 

    Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148 

    This study evaluates the impact of barcode medication scanning on nursing workflow and its potential for patient safety. This source is particularly relevant to nursing practices as medication administration errors occur at nurses’ hands. Using this resource, nurses can learn about the workflow changes after implementing this technology. The interdisciplinary team members, including front-line staff members, leaders, and the quality improvement department, can all collaborate using this technology to ensure patient safety consistently.

    NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

    This is possible when nurses and quality control personnel collaboratively gather data on medication errors and analyze the trends pre- and post-implementation of this technology. Lastly, healthcare leaders must understand that chances of medication errors persist even after full implementation of BCS. The healthcare workforce must read this article to learn more about BCMA, prospective changes that occur after the implementation of BCMA, and measures to take for future improvements.

     Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2020). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832–841. https://doi.org/10.1016/j.sapharm.2020.08.001

    In their systemic review, Zheng and colleagues (2020) studied different healthcare information technologies, including barcode medication administration, focusing on their impact on the safety of controlled medication and work processes. The study also highlighted that BCMA eliminates medication administration from 2% to 0, reducing the risk of adverse drug events. This showed that BCMA enhanced patient safety and improved quality of care as medication errors were eliminated.

    Moreover, this study relates the use of BCMA with nursing practices as their primary involvement in delivering medications may cause medication administration errors that can be effectively prevented by BCMA use. Furthermore, interdisciplinary team collaboration can be enhanced using these systems as they electronically manage patient medication from prescription to dispensing and administration. This resource is a valuable insight for healthcare professionals to understand the effective use of BCMA in preventing medication errors, mainly when controlled drugs such as opioids are being administered. 

    Summary of Recommendations

    Drawn from the consensus of the four peer-reviewed articles, the criticality of BCMA technology in significantly reducing medication administration errors is indisputable. By fostering collaborative efforts between nurses and interdisciplinary teams, the consistent and effective use of BCMA reinforces adherence to the five rights of medication administration. It underscores the intrinsic linkage between patient safety and quality care. Organizational decisions regarding the introduction of BCMA are shaped by many factors.

    There is an inherent hesitation in the healthcare sector towards new technological adoptions. Nevertheless, specific organizational policies that emphasize patient safety and a culture that values innovation can catalyze the adoption of technologies like BCMA. Leadership commitment further fortifies this inclination, especially when recognizing the potential long-term cost-saving benefits of reducing medication errors. Moreover, while financial investments are imperative for BCMA’s integration, a critical organizational resource is empowering its employees. Ensuring they are provided with comprehensive training sessions is crucial to promoting competent and informed use of the system (Zheng et al., 2020).

    NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

    BCMA’s merits are manifold. A significant reduction in medication errors directly correlates to elevated patient care standards, translating to escalated patient satisfaction levels. BCMA’s structured approach ensures that healthcare professionals, from physicians to nursing assistants, benefit from easily accessible digital documentation, cultivating a more cohesive patient care strategy. BCMA stands as a beacon for interdisciplinary collaboration, catalyzing continuous patient safety and medication protocol advancements. This systematic approach reduces errors and addresses staff burnout, enhances nurse satisfaction, and suggests a possibility for decreased staff turnover (Jessurun et al., 2021). The overarching benefits of BCMA, substantiated by scholarly literature, advocate its pivotal position in modern healthcare settings.

    Conclusion

    This paper focuses on electronic medication administration with barcoding, primarily on patient safety. Medication administration errors impact patient safety and lead to various health and financial implications. Therefore, the four annotated bibliographies from different databases are studied to analyze the impact of BCMA on patient safety, quality of care, interdisciplinary teams, and nursing practices. All four studies promote using BCMA to reduce medication administration errors, improve the quality of care, and enhance healthcare professionals’ work efficiency and productivity. 

    References

    Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148

    Jessurun, J. G., Hunfeld, N. G. M., van Rosmalen, J., van Dijk, M., & van den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: An uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), 1–8. https://doi.org/10.1093/intqhc/mzab142 

    Küng, K., Aeschbacher, K., Rütsche, A., Goette, J., Zürcher, S., Schmidli, J., & Schwendimann, R. (2021). Effect of barcode technology on medication preparation safety: A quasi-experimental study. International Journal for Quality in Health Care, 33(1). https://doi.org/10.1093/intqhc/mzab043 

    NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

    Tariq, R. A., & Scherbak, Y. (2023, May 2). Medication dispensing errors and prevention. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK519065/ 

    Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2020). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832–841. https://doi.org/10.1016/j.sapharm.2020.08.001