Differences in the Use of Bar Code Medication Administration (BCMA) in Acute Care and Long-Term Care Settings

Abstract

In this paper, we explore how the use of a software package, Bar Code Medication Administration (BCMA), differs in acute care and long-term care settings. Direct observation of BCMA use during medication administration was conducted on acute care (42 hours) and long-term care (37 hours) wards in a small, medium, and large hospital. The following differences were found for all three hospitals: 1) acute care ward nurses used more detailed printed reports to plan medication passes and detect errors in ordering and dispensing than on the long-term care wards, 2) barcoded wristbands were scanned more frequently to identify patients on acute care than long-term care wards (53% vs. 8%), and 3) nurses administered medications immediately after scanning and opening medication packets more frequently on acute care than long-term care wards (93% vs. 23%). The findings highlight the need to tailor the BCMA software for the long-term care setting in order to improve patient safety.