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The impact of barcode-assisted medication administration on medication administration errors in non-unit-dose settings: a systematic review

Tan, W.; Bingham, G.; Tong, E.; Bonakdeh, E. S.; Wang, W.

2024-10-07 health informatics
10.1101/2024.10.06.24314967 medRxiv
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ObjectiveThis study aims to investigate how barcode-assisted medication administration systems (BCMAs) can affect medication administration errors (MAEs) in non-unit-dose dispensing settings, since unit dose dispensing system can be a confounding variable affecting MAE rates. Materials and MethodsWe conducted a systematic review of articles on MEDLINE, EMBASE, EMCARE, CINAHL and Scopus. Studies are meticulously examined to exclude those with unit-dose dispensing setting. ResultsWe included 4 papers in the review. The categories of MAEs reported among these studies are heterogeneous. 2 studies give weak evidence and 1 study give moderate evidence that BCMA can lower some categories of MAEs. 1 studies gives weak evidence that BCMA increase the wrong administration time error. DiscussionStudies provide weak to moderate evidence that barcode-assisted medication administration can lower certain categories of medication administration errors. However, some reported findings are minimal. ConclusionMore multi-ward multi-hospital studies need to be conducted to provide stronger evidence on BCMAs impact on MAEs, especially on dosage-related MAEs, in settings without unit dose dispensing systems.

Published in Contemporary Nurse · not in our set (fewer than 10 published preprints to learn from) · training set

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