Time trend of injection drug errors before and after implementation of bar-code verification system

Technol Health Care. 2015;23(3):267-74. doi: 10.3233/THC-150897.

Abstract

Background: Bar-code technology, used for verification of patients and their medication, could prevent medication errors in clinical practice.

Objective: Retrospective analysis of electronically stored medical error reports was conducted in a university hospital.

Methods: The number of reported medication errors of injected drugs, including wrong drug administration and administration to the wrong patient, was compared before and after implementation of the bar-code verification system for inpatient care.

Results: A total of 2867 error reports associated with injection drugs were extracted. Wrong patient errors decreased significantly after implementation of the bar-code verification system (17.4/year vs. 4.5/year, p< 0.05), although wrong drug errors did not decrease sufficiently (24.2/year vs. 20.3/year). The source of medication errors due to wrong drugs was drug preparation in hospital wards.

Conclusion: Bar-code medication administration is effective for prevention of wrong patient errors. However, ordinary bar-code verification systems are limited in their ability to prevent incorrect drug preparation in hospital wards.

Keywords: Bar-code technology; error report; injection drug; medical safety; wrong patient.

MeSH terms

  • Electronic Data Processing / statistics & numerical data*
  • Hospitals, University
  • Humans
  • Injections / statistics & numerical data*
  • Medication Errors / classification
  • Medication Errors / prevention & control*
  • Medication Errors / statistics & numerical data*
  • Medication Systems, Hospital / statistics & numerical data*
  • Patient Safety
  • Retrospective Studies
  • Time Factors