Ignite Creation Date:
2024-05-05 @ 12:05 PM
Last Modification Date:
2024-10-26 @ 9:20 AM
Study NCT ID:
NCT00243373
Status:
COMPLETED
Last Update Posted:
2012-01-19
First Post:
2005-10-21
Brief Title:
Using Barcode Technology to Improve Medication Safety
Sponsor:
Brigham and Womens Hospital
Organization:
Brigham and Womens Hospital
Study Overview
Official Title:
Using Barcode Technology to Improve Medication Safety
Status:
COMPLETED
Status Verified Date:
2012-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will investigate the impact of barcode technology on medication errors made by nursing In addition it will measure the impact of this technology on nursing workflow and satisfaction
Detailed Description:
Patient safety is a critical issue in healthcare1 Medications are the most commonly used form of medical therapy and the single most frequent cause of adverse events2 The medication use process has several stages ordering transcribing dispensing administering and monitoring Medication errors have been shown to be common34 and a large proportion 61 of them occur in the dispensing transcribing and administering stages5 Barcode technology in conjunction with an electronic medication administration record eMAR system has been proposed as a promising way to reduce medication errors at the transcribing dispensing and administering stages6 However its efficacy for reducing medication error rates its acceptance by staff and its cost-benefit ratio remain unknown Without evidence to clarify these issues it is difficult for health care organizations to prioritize this technology among many other potential safety interventions7 We therefore propose to answer 3 related questions in this study i What is the impact of barcode and electronic medication administration record barcodeeMAR technology on reducing medication errors in hospitalized patients ii What is the impact of barcodeeMAR technology on nursing and pharmacy efficiency and satisfaction iii Can the cost of barcodeeMAR technology be justified by its benefits We propose to address these questions at the Brigham and Womens Hospital BWH which has a long-standing tradition of innovation in healthcare and research in medication safety In particular it was one of the first hospitals to assess the impact of computerized physician order entry CPOE on medication safety89 While CPOE is important for improving medication safety it addresses errors primarily in the ordering stage of the medication use process leaving patients vulnerable to errors that occur at the dispensing transcribing and administering stages Therefore as part of a multi-disciplinary patient safety initiative BWH has committed 3 million dollars to build a state-of-the-art barcodeeMAR system This system will include sophisticated decision support to reduce medication errors made beyond the physician ordering stage Design work is near completion and the hospital plans to implement the system in phases over 9 months beginning in the 4th quarter of 2003 This offers us a window of opportunity to formally study the broad impact of barcodeeMAR technology We propose to perform a prospective controlled multidisciplinary randomized controlled trial of barcodeeMARs impact on medication errors as well as evaluations of impact on hospital efficiency staff satisfaction and hospital finances
Specific Aims
We plan to address the following 3 specific aims over the proposed 24 months of the study
1 To evaluate the impact of barcodeeMAR technology on the rate of serious medication transcribing and administration errors
2 To evaluate the impact of barcodeeMAR technology on nursing workflow and satisfaction in an acute care hospital
Specific Aims
We plan to address the following 3 specific aims over the proposed 24 months of the study
1 To evaluate the impact of barcodeeMAR technology on the rate of serious medication transcribing and administration errors
2 To evaluate the impact of barcodeeMAR technology on nursing workflow and satisfaction in an acute care hospital
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None