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Original Article

Evaluation of the Bar Code Medication Administration and Blood Transfusion System in a Tertiary Hospital

Myung Sook Cho1, Mi Ra Song2, Mi Ra Jang3
Journal of Korean Academy of Nursing Administration 2012;18(1):23-32.
Published online: March 31, 2012

1Chief Nursing Officer, Nursing Department, Samsung Medical Center; Associate Professor, Department of Clinical Nursing Science, Samsung Medical Center Sungkyunkwan University School of Medicine, Korea.

2Nurse Manager, Nursing Professional Development, Nursing Department, Samsung Medical Center, Korea.

3RN, Nursing Professional Development, Nursing Department, Samsung Medical Center, Korea.

Correspondence: Song, Mi Ra. Nursing Professional Development, Nursing Department, Samsung Medical Center 50, Irwon-dong, Gangnam-gu, Seoul, 135-710, Korea. Tel: 82-2-3410-2903, Fax: 82-2-3410-2920, sami922@naver.com
• Received: December 1, 2011   • Revised: January 2, 2012   • Accepted: January 6, 2012

Copyright © 2012 Korean Academy of Nursing Administration

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  • Purpose
    The purpose of this study was to assess the clinical application of a bar code medication administration and blood transfusion system and to identify its effects from the aspect of patient safety and nurse satisfaction in a tertiary hospital.
  • Methods
    The system in this study was PDA with bar code reading capability and wireless networking function. The logs created during application of the system and administration error reports were analyzed. For nurses' satisfaction with the system, data were collected from 337 nurses using the instrument developed by Otieno et al. and analyzed using descriptive statistics.
  • Results
    The system application rate was 98.8%, and the main failure cases in the system application included bar code or network related factors. When the system was applied, 0.02% of errors were prevented. The nurses were satisfied with the system from the aspect of patient safety, however relatively less satisfied with the system from the aspect of work efficiency.
  • Conclusion
    The results of the study indicate the usefulness for patient safety of applying the bar code medication administration and blood transfusion system to clinical practice. However technological improvements including bar code and network communication are necessary to ensure higher work efficiency in nursing practice.
  • Key Words: Bar code; Drug administration; Blood transfusion; Error; Nurses' satisfaction
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Figure 1
Workflow diagram for the bar code medication administration and blood transfusion system
jkana-18-23-g001.jpg
Figure 2
System application, warnings, and errors generated by the bar code medication administration
jkana-18-23-g002.jpg
Table 1
Cases of Failure of the Bar Code Medication Administration and Blood Transfusion System Application
jkana-18-23-i001.jpg

PDA=Personal Digital Assistants; EMR=Electronic Medical Record

Table 2
Nurses' Satisfaction with the Bar Code Medication Administration and Blood Transfusion System (n=337)
jkana-18-23-i002.jpg
Table 3
Nurses' Satisfaction with the System according to General Characteristics (n=337*)
jkana-18-23-i003.jpg

*except for no response

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Characteristics of Medication Administration Error Alerts in Application of Mobile Medication System
      Suk-Hee Song, Ju-Won Back, In-Seon Han, Eun-Hye Kim, Nyeon-Im Byun, Eun-Mi Cho, Ta-Sea An, Hui-Joeng Hong
      Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 149.     CrossRef
    • Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study
      Young Mee Kim, Se Young Kim
      International Journal of Health Care Quality Assurance.2019; 32(5): 832.     CrossRef
    • An Experience of Patient Involvement in the Pre-Transfusion Checking Process: A Single Center Study
      Bo-Ram Kim, Kyeong-Hee Kim, Hyeon-Ho Lim, Byoung-Gwon Kim, Myung-Koo Kang, Tea Ok Cha
      The Korean Journal of Blood Transfusion.2015; 26(3): 266.     CrossRef
    • Design and Implementation of Mobile Healthcare System supporting Safe Transfusion
      Moon-Seol Kang
      Journal of the Korea Institute of Information and Communication Engineering.2015; 19(8): 1845.     CrossRef
    • Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units
      Young Mee Kim, Seung-Wan Kang, Se Young Kim
      Journal of Korean Academy of Nursing.2014; 44(2): 198.     CrossRef

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    Evaluation of the Bar Code Medication Administration and Blood Transfusion System in a Tertiary Hospital
    J Korean Acad Nurs Adm. 2012;18(1):23-32.   Published online March 31, 2012
    DOI: https://doi.org/10.11111/jkana.2012.18.1.23
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    Evaluation of the Bar Code Medication Administration and Blood Transfusion System in a Tertiary Hospital
    J Korean Acad Nurs Adm. 2012;18(1):23-32.   Published online March 31, 2012
    DOI: https://doi.org/10.11111/jkana.2012.18.1.23
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    • 1
    Evaluation of the Bar Code Medication Administration and Blood Transfusion System in a Tertiary Hospital
    Image Image
    Figure 1 Workflow diagram for the bar code medication administration and blood transfusion system
    Figure 2 System application, warnings, and errors generated by the bar code medication administration

    Figure 1

    Figure 2

    Evaluation of the Bar Code Medication Administration and Blood Transfusion System in a Tertiary Hospital

    Cases of Failure of the Bar Code Medication Administration and Blood Transfusion System Application

    PDA=Personal Digital Assistants; EMR=Electronic Medical Record

    Nurses' Satisfaction with the Bar Code Medication Administration and Blood Transfusion System (n=337)

    Nurses' Satisfaction with the System according to General Characteristics (n=337*)

    *except for no response
    Table 1 Cases of Failure of the Bar Code Medication Administration and Blood Transfusion System Application

    PDA=Personal Digital Assistants; EMR=Electronic Medical Record

    Table 2 Nurses' Satisfaction with the Bar Code Medication Administration and Blood Transfusion System (n=337)

    Table 3 Nurses' Satisfaction with the System according to General Characteristics (n=337*)

    *except for no response

    Table 1

    Table 2

    Table 3

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