J Emerg Nurs. 2020 Nov;46(6):884-891. doi: 10.1016/j.jen.2020.07.004. Epub 2020 Sep 19.
Bar-code medication administration has been shown to reduce medication errors in inpatient settings with limited studies on its use in emergency departments. In addition, no studies have evaluated nursing satisfaction with implementing bar-code medication administration in an emergency department. This study was designed to determine the impact of implementing bar-code medication administration in an emergency department on medication errors and nursing satisfaction.
This is a before-and-after study, with no control group, of a bar-code medication administration intervention conducted in a community hospital emergency department. Direct observation was used to compare medication error rates before and 3 months after implementing bar-code medication administration. The Medication Administration System-Nurses Assessment of Satisfaction survey was used to assess the impact on nursing satisfaction before and 1 month after bar-code medication administration implementation.
A total of 676 medication administrations were observed in the period before bar-code medication administration implementation and 656 after. The medication administration error rate preimplementation was 2.96% with "wrong dose" errors being the most common. After bar-code medication administration implementation, the medication administration error rate fell to 0.76%, a relative reduction of 74.2% (Fisher exact P < 0.01). The average (SD) Medication Administration System-Nurses Assessment of Satisfaction score preimplementation was 2.60 (0.75) and improved to 2.29 (0.66) (t = 2.00, P = 0.05) 1 month post implementation.
Implementing bar-code medication administration in a community emergency department was associated with a decrease in medication administration errors and an improvement in Medication Administration System-Nurses Assessment of Satisfaction scores. The results of this study suggest a benefit of bar-code medication administration in reducing medication administration errors and improved nursing satisfaction in the emergency department.
条码给药管理已被证明可减少住院环境中的用药错误，但在急诊科的应用研究有限。此外，尚无研究评估在急诊科实施条码给药管理对护理满意度的影响。本研究旨在确定在急诊科实施条码给药管理对用药错误和护理满意度的影响。
这是一项在社区医院急诊科进行的条码给药管理干预措施的前后对照研究，无对照组。采用直接观察法比较实施条码给药管理前后 3 个月的用药错误率。采用给药管理系统-护士满意度评估调查评估实施条码给药管理前后对护理满意度的影响。
在实施条码给药管理之前，共观察到 676 次给药，实施后观察到 656 次。实施前给药错误率为 2.96%，最常见的错误是“剂量错误”。实施条码给药管理后，给药错误率下降至 0.76%，相对减少 74.2%（Fisher 确切概率 P < 0.01）。实施前给药管理系统-护士满意度评估平均（SD）得分为 2.60（0.75），实施后提高至 2.29（0.66）（t=2.00，P=0.05）。
在社区急诊科实施条码给药管理与用药错误的减少和给药管理系统-护士满意度评估得分的提高有关。本研究结果表明，条码给药管理有助于减少用药错误，提高急诊科护理满意度。
