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Bcma Literature

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Utility of Research
General research in the field of BCMA supports its use in decreasing overall medication administration error. Of the thirteen articles reviewed, ten supported the theory that BCMA decreased medication administration rates and ADEs (Carayon et al., 2007; DeYoung et al., 2009; Hardmeier et al., 2014; Harrington et al., 2013; Keane, 2014; Koppel et al., 2008; Ludwig-Beymer et al., 2012; Morriss et al., 2011; Richardson et al., 2012; Seibert et al., 2014). The rate of medication administration errors varied by study and were affected by factors including, nursing compliance, availability of technology, length of time using BCMA systems, patient complexity and environmental factors (Koppel et al., 2008; Van Onzenoort et al., …show more content…

The need to effectively train staff, evaluate outcomes and improve upon systems is a common theme in BCMA literature. Nursing noncompliance to BCMA is common in systems that use its technology; however, several studies demonstrated the importance and efficacy of using quality improvement techniques to improve compliance (Harrington et al., 2013; Koppel et al., 2008; Ludwig-Beymer et al., 2012; Mims et al., 2009; Van Onzenoort et al., 2008). Research reiterated the need to continue to improve upon technology, staff compliance, and system design in order to create the best system to further advance the results yielded through BCMA (Carayon et al., 2007; DeYoung et al., 2009; Hardmeier et al., 2014; Harrington et al., 2013; Keane, 2014; Koppel et al., 2008; Ludwig-Beymer et al., 2012; Mims et al., 2009; Richardson et al., 2012; Seibert et al., 2014; Sherwood & Zomorodi, 2014).
The human factor, or ergonomics, viewpoint was also supported throughout various BCMA research studies. Studies that focused on nurses’ perception of the technology or their use of the technology were able to identify barriers to BCMA technology and consequentially they were able to improve upon the rates of compliance to BCMA which decreased the rates of ADEs (Carayon et al., 2007; Harrington et al., 2013; Koppel et al., 2008; Ludwig-Beymer …show more content…

Six studies were conducted in Midwestern hospitals (Carayon et al., 2007; DeYoung et al., 2009; Harrington et al., 2013; Ludwig-Beymer et al., 2012; Morriss et al., 2011; Seibert et al., 2014). One study was conducted in a western hospital in the United States (Hardmeier et al., 2014), one in New England hospitals (Richardson et al., 2012) and one study was conducted in a hospital in the Netherlands (Van Onzenoort et al., 2008). Two studies were conducted throughout the United States (Koppel et al., 2008; Mims et al., 2009). Of the thirteen studies, eleven were cross sectional observational studies while the remaining two were literature reviews (Keane, 2014; Young et al., 2010).
Search Strategy The initial search strategy for the BCMA research began with the University of North Carolina (UNC) Health Science Library website. The review of literature was preformed using CINHAL. Initial search terms used were “bar cod*” and “medication error”. To further expand the search, the term “quality improvement” was added. Searches were limited to articles published after 2007 and articles published or translated into English. No constraints were placed on geographic regions or study type.
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