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iDEA: DREXEL LIBRARIES E-REPOSITORY AND ARCHIVES

iDEA: DREXEL LIBRARIES E-REPOSITORY AND ARCHIVES

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Reducing Barcode Medication Overrides

Details
Title
Reducing Barcode Medication Overrides: Process Mapping ID Band Placement
Author(s)
Bassion, Loretta A.
Advisor(s)
Zuzelo, Patti Rager
Keywords
Nursing; Medication Systems, Hospital; Nursing Process; Process Assessment (Health Care); Tertiary Care Centers
Date
2016-09
Publisher
Drexel University
Thesis
D.N.P., Nursing Practice -- Drexel University, 2016
Abstract
Background: Barcode Medication Administration (BCMA) processes rely on accurate patient identification band (IDB) placement. An inaccurate or missing patient IDB can lead to BCMA procedure overrides, avoidable events that increase the likelihood of errors. Purpose: To reduce the incidence of BCMA patient IDB scans that lead to procedure overrides resulting from missing or incorrectly applied patient IDB placement. Methods: This pilot quality improvement project focused on six nursing units in a 176-bed community hospital. The doctoral student led an interdisciplinary team of expert informants in process mapping activities that identified gaps in patient admission IDB placement processes. Process mapping was supported by the Plan, Do, Check, Act (PDCA) framework. The group developed procedural recommendations to ensure correct IDB placement. Implementation of recommended changes and data from weekly electronic managerial reports was compared pre and post-interventions to measure frequencies of BCMA override processes related to patient IDB issues. Evaluation: Weekly electronic managerial reports for each of the six nursing units compared BCMA patient ID override frequencies before and after any corrected gaps over one month. Clinical Implications: This quality improvement project provided 1) identification of IDB process gaps and 2) recommendations for remediating steps in IDB processes developed by interdisciplinary expert informants who participated in IDB placement. Improving IDB placement accuracy helped to reduce overall BCMA system patient ID overrides, thereby reducing medication use system risk.
URI
http://hdl.handle.net/1860/idea:6963
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