| Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. | |
| | |
MedLine Citation:
|
PMID: 19567797 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Technology has great potential to reduce medication errors in hospitals. This case report describes barriers to, and facilitators of, the implementation of a pharmacy bar code scanning system to reduce medication dispensing errors at a large academic medical center. Ten pharmacy staff were interviewed about their experiences during the implementation. Interview notes were iteratively reviewed to identify common themes. The authors identified three main barriers to pharmacy bar code scanning system implementation: process (training requirements and process flow issues), technology (hardware, software, and the role of vendors), and resistance (communication issues, changing roles, and negative perceptions about technology). The authors also identified strategies to overcome these barriers. Adequate training, continuous improvement, and adaptation of workflow to address one's own needs mitigated process barriers. Ongoing vendor involvement, acknowledgment of technology limitations, and attempts to address them were crucial in overcoming technology barriers. Staff resistance was addressed through clear communication, identifying champions, emphasizing new information provided by the system, and facilitating collaboration. |
| | |
Authors:
|
Karen C Nanji; Jennifer Cina; Nirali Patel; William Churchill; Tejal K Gandhi; Eric G Poon |
Related Documents
:
|
12105707 - Necessary security mechanisms in a pacs dicom access system with web technology. 19888007 - Top technology issues for ambulatory care facilities this year and beyond. 10303487 - The imperative character of medical technology and the meaning of "anticipated decision... 3958417 - Bifocal hydrogel lenses: an overview. 15938727 - An unusual reoccurrence of waldenstrom's macroglobulinemia as pleural effusions that ha... 12516887 - Understanding the physiology and pharmacology of epidural and intrathecal opioids. |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. Date: 2009-06-30 |
Journal Detail:
|
Title: Journal of the American Medical Informatics Association : JAMIA Volume: 16 ISSN: 1527-974X ISO Abbreviation: J Am Med Inform Assoc Publication Date: 2009 Sep-Oct |
Date Detail:
|
Created Date: 2009-09-16 Completed Date: 2010-01-06 Revised Date: 2010-09-27 |
Medline Journal Info:
|
Nlm Unique ID: 9430800 Medline TA: J Am Med Inform Assoc Country: United States |
Other Details:
|
Languages: eng Pagination: 645-50 Citation Subset: IM |
Affiliation:
|
Division of General Medicine and Primary Care, Brigham and Women's Hospital, 3/F 1620 Tremont St, Boston, MA 02120, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Attitude of Health Personnel Automatic Data Processing* Boston Clinical Pharmacy Information Systems / organization & administration* Diffusion of Innovation* Health Plan Implementation* Humans Inservice Training Medication Errors / prevention & control* Medication Systems, Hospital / organization & administration* Organizational Case Studies |
| Grant Support | |
ID/Acronym/Agency:
|
HS14053-02/HS/AHRQ HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical decision support capabilities of commercially-available clinical information systems.
Next Document: Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systemat...