Leung Alexander A, Denham Charles R, Gandhi Tejal K, Bane Anne, Churchill William W, Bates David W, Poon Eric G
From the *Brigham and Women's Hospital, Boston, Massachusetts; †Texas Medical Institute of Technology, Austin, Texas; and ‡Boston Medical Center, Boston, Massachusetts.
J Patient Saf. 2015 Jun;11(2):89-99. doi: 10.1097/PTS.0000000000000049.
Safety advocates have identified barcode verification technology as an important tool to improve health-care practices.
We evaluated the evidence for the role of barcode technology in improving a wide range of medication safety outcomes across a broad range of settings. Important implementation issues were highlighted to guide standards for the safe adoption of barcode technology.
Adverse drug events are common, occurring frequently in both inpatient and outpatient settings. Although approximately half of all preventable adverse drug events in inpatients result from medication errors arising from transcription, dispensing, and administration, these errors are far less likely to be caught than in any of the earlier stages of the medication use process and are therefore most amenable to improvement. When integrated with electronic medication administration records, barcode systems are associated with complete elimination of transcription errors. Furthermore, barcode-assisted dispensing systems are associated with 93% to 96% reductions in dispensing errors, and 85% reductions in potential adverse drug events in dispensing. Most studies have reported large and significant reductions in administration errors by up to 80% after implementation of barcode medication administration systems. Although most studies of barcode technology have been conducted in the adult inpatient setting, the limited data available also support their benefit in pediatric and outpatient settings.
There is growing evidence for the efficacy of barcode solutions in improving overall medication safety. Standards for the implementation of barcode technology are proposed.
安全倡导者已将条码验证技术确定为改善医疗保健实践的一项重要工具。
我们评估了条码技术在广泛环境中改善一系列用药安全结果方面作用的证据。突出了重要的实施问题，以指导安全采用条码技术的标准。
药物不良事件很常见，在住院和门诊环境中均频繁发生。虽然住院患者中所有可预防的药物不良事件约有一半是由转录、调配和给药过程中的用药错误引起的，但这些错误在用药过程的任何早期阶段被发现的可能性都远低于此，因此最适合改进。当与电子给药记录相结合时，条码系统可完全消除转录错误。此外，条码辅助调配系统可使调配错误减少93%至96%，并使调配过程中潜在的药物不良事件减少85%。大多数研究报告称，实施条码给药系统后，给药错误大幅显著减少达80%之多 。虽然大多数关于条码技术 的研究是 在成人住院环境中进行的，但现有的有限数据也支持它们在儿科和门诊环境中的益处。
越来越多 的证据表明条码解决方案在改善整体用药安全方面的有效性。本文提出了条码技术的实施标准。
