Evaluation of nurse interaction with bar code medication administration technology in the work environment

Journal of Patient Safety

Volumn 3, Issue 1, 2007, Pages 34-42

  Carayon, Pascale ^a,f   Wetterneck, Tosha B ^b,c   Hundt, Ann Schoofs ^a   Ozkaynak, Mustafa ^a   DeSilvey, Joshua ^d   Ludwig, Brad ^c   Ram, Prashant ^e   Rough, Steven S ^c  

^a University of Wisconsin Madison   (United States)

^b UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH   (United States)

^c University of Wisconsin Health   (United States)

^d UNIVERSITY OF WASHINGTON MEDICAL CENTER   (United States)

^e IMI Plc   (China)

^f UNIVERSITY OF WISCONSIN MADISON   (United States)

Author keywords

Bar code medication administration; Human factors engineering; Nurse; Observation; Patient safety

Indexed keywords

EID: 34250650799     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: 10.1097/PTS.0b013e3180319de7     Document Type: Article

References (46)

1. Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration - 2002. Am J Health Syst Pharm. 2003;60:52-68.
2. Hoffman J, Thielke T, Orlik A. Medication safety in Wisconsin hospitals. J Pharm Soc Wis. 2004 (January/February):3-7.
3. JCAHO. 2005 National Patient Safety Goals and Requirements for JCAHO's Hospital Accreditation Programs; 2004.
4. Cummings J, Bush P, Smith D, et al. Bar-coding medication administration overview and consensus recommendations. Am J Health Syst Pharm. 2005;62:2626-2629.
5. Traynor K. FDA to require bar coding of most pharmaceuticals by mid-2006. Am J Health Syst Pharm. 2004;61:644-645.
6. Morrissey J. Too much too soon? JCAHO's proposed 2007 deadline for bedside bar-code technology has some providers scurrying, but vendors call the plan doable. Mod Healthc. 2004;34:6-7.
7. ASHP Foundation. Implementing a Bar Coded Medication Safety Program: The American Society of Health-System Pharmacists Research and Education Foundation; 2004.
8. Shojania K, Duncan B, McDonald K, Wachter RM, eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Washington, DC: Agency for Healthcare Research and Quality; 2001.
9. Douglas J, Larrabee S. Bring barcoding to the bedside - implement information technology to track and reduce medication errors. Nurs Manage. 2003;34:36-40.
10. Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Am J Health Syst Pharm. 2005;62:2619-2625.
11. Puckett F. Medication management component of a point-of-care information system. Am J Health Syst Pharm. 1995;52:1305-1309.
12. Turner CL, Casbard AC, Murphy MF. Barcode technology: its role in increasing the safety of blood transfusion. Transfusion. 2003;43:1200-1209.
13. Rough S, Ludwig B, Wilson E. Improving the medication administration process: the impact of point of care bar code medication scanning technology. Proceedings of the ASHP Conference. New Orleans, LA: Selected as ASHP Best Practices Award Paper; 2003.
14. Vicente KJ. Less is (sometimes) more in cognitive engineering: the role of automation technology in improving patient safety. Qual Saf Health Care. 2003;12:291-294.
15. Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in medication administration. J Am Med Inform Assoc. 2002;9:540-553.
16. Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medications errors. JAMA. 2005;293:1197-1203.
17. Patterson ES, Rogers ML, Render ML. Fifteen best practice recommendations for bar-code medication administration in the Veterans Health Administration. Jt Comm J Qual Saf. 2004;30:355-365.
18. Carthey J, de Leval MR, Wright DJ, et al. Behavioural markers of surgical excellence. Saf Sci. 2003;41:409-425.
19. Bisantz AM, Drury CG. Applications of archival and observational data. In: Wilson JR, Corlett N, eds. Evaluation of Human Work. Boca Raton, FL: Taylor and Francis; 2005:61-82.
20. Carayon P, Smith MJ. Work organization and ergonomics. Appl Ergon. 2000;31:649-662.
21. Smith MJ, Carayon-Sainfort P. A balance theory of job design for stress reduction. Int J Ind Ergon. 1989;4:67-79.
22. Carayon P, Wetterneck TB, Hundt AS, et al. Assessing nurse interaction with medication administration technologies: the development of observation methodologies. In: Khalid HM, Helander MG, Yeo AW, eds. Work With Computing Systems 2004. Kuala Lumpur, Malaysia: Damai Sciences; 2004:319-324.
23. Carayon P, Wetterneck TB, Hundt AS, et al. Observing nurse interaction with infusion pump technologies. In: Henriksen K, Battles JB, Marks E, Lewin DI, eds. Advances in Patient Safety: From Research to Implementation. Rockville, MD: Agency for Healthcare Research and Quality; 2005:349-364.
24. Sandelowski M. Sample size in qualitative research. Res Nurs Health. 1995;18:179-182.
25. Sarter NB, Woods DD, Billings CE. Automation surprises. In: Salvendy G, ed. Handbook of Human Factors and Ergonomics, Second ed. New York, NY: John Wiley & Sons; 1997:1926-1943.
26. Cooper R, Franks B. Interruptibility as a constraint on hybrid systems. Minds Mach (Dordr). 1993;3:73-96.
27. McFarlane DC. Interruption of People in Human-Computer Interaction [doctoral dissertation]. Washington, DC: The George Washington University; 1998.
28. Eyrolle H, Cellier J-M. The effects of interruptions in work activity: field and laboratory results. Appl Ergon. 2000;31:537-543.
29. Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 (suppl 2):ii28-ii33.
30. Carayon P, Alvarado CJ, Hundt AS. Work system design in healthcare. In: Carayon P, ed. Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety. Mahwah, NJ: Lawrence Erlbaum Associates; 2007:61-78.
31. Carayon P, Gurses AP, Hundt AS, et al. Performance obstacles and facilitators of healthcare providers. In: Korunka C, Hoffmann P, eds. Change and Quality in Human Service Work. Munchen, Germany: Hampp Publishers; 2005:257-276.
32. Potter P, Boxerman S, Wolf L, et al. Mapping the nursing process: a new approach for understanding the work of nursing. J Nurs Adm. 2004;34:101-109.
33. Karsh B-T, Scanlon MC. Using bar code technology for medication administration: special human factors considerations for pediatric populations. In: Tartaglia R, Bagnara S, Bellandi T, Albolino S, eds. Healthcare Systems Ergonomics and Patient Safety. London, UK: Taylor & Francis; 2005:135-138.
34. Carayon P. Macroergonomics in quality of care and patient safety. In: Luczak H, Zink KJ, eds. Human Factors in Organizational Design and Management. Santa Monica, CA: IEA Press; 2003:21-35.
35. Carayon P, Wetterneck TB, Hundt AS, et al. Continuous technology implementation in health care: the case of advanced IV infusion pump technology. In: Salvendy G, editor. Proceedings of the 11th International Conference on Human-Computer Interaction. Las Vegas, Nevada; 2005.
36. Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37:525-535.
37. Smith MJ, Carayon P. New technology, automation, and work organization: stress problems and improved technology implementation strategies. Int J Hum Factors Manufacturing. 1995;5:99-116.
38. Carayon P, Smith P, Hundt AS, et al. Implementation of an Electronic Health Records system in a small clinic. Behaviour and Information Technology 2006. In press.
39. Beuscart-Zhépyr MC, Pelayo S, Anceaux F, et al. Impact of CPOE on doctor-nurse cooperation for the medication ordering and administration process. Int J Med Inf. 2005;74:629-641.
40. Reddy MC, McDonald DW, Pratt W, et al. Technology, work, and information flows: lessons from the implementation of a wireless alert pager system. J Biomed Inform. 2005;38:229-238.
41. Fraind DB, Slagle JM, Tubbesing VA, et al. Reengineering intravenous drug and fluid administration processes in the operating room: step one: task analysis of existing processes. Anesthesiology. 2002;97:139-147.
42. Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23:294-300.
43. Wirtz V, Taxis K, Barber ND. An observational study of intravenous medication errors in the United Kingdom and in Germany. Pharm World Sci. 2003;25:104-111.
44. Morey JC, Simon R, Jay GD, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res. 2002;37:1553-1581.
45. Xiao Y, Seagull FJ, Mackenzie CF, et al. Adaptive leadership in trauma resuscitation teams: a grounded theory approach to video analysis. Cogn Technol Work. 2004;6:158-164.
46. Mackenzie CF, Xiao Y. Video analysis in health care. In: Carayon P, ed. Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. Mahwah, NJ: Lawrence Erlbaum Associates; 2007:663-678.