Evidence map›Paper›PMID 28455275›Full record

ArticleJMIR research protocols2017

Association Between Workarounds and Medication Administration Errors in Bar Code-Assisted Medication Administration: Protocol of a Multicenter Study.

Willem van der Veen, Patricia Mla van den Bemt, Maarten Bijlsma, Han J de Gier, Katja Taxis

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Willem van der VeenFaculty of Science and Engineering, Unit PharmacoTherapy, -Epidemiology & -Economics, University of Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0003-4603-8736
Patricia Mla van den BemtErasmus Medical Center, Department of Hospital Pharmacy, Erasmus University, Rotterdam, Netherlands.ORCID http://orcid.org/0000-0003-1418-5520
Maarten BijlsmaFaculty of Science and Engineering, Unit PharmacoTherapy, -Epidemiology & -Economics, University of Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0002-7330-6006
Han J de GierFaculty of Science and Engineering, Unit PharmacoTherapy, -Epidemiology & -Economics, University of Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0001-5189-2705
Katja TaxisFaculty of Science and Engineering, Unit PharmacoTherapy, -Epidemiology & -Economics, University of Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0001-8539-2004
University of Groningen · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation technology-based methods such as bar code-assisted medication administration (BCMA) systems have the potential to reduce medication administration errors (MAEs) in hospitalized patients. In practice, however, systems are often not used as intended, leading to workarounds. Workarounds may result in MAEs that may harm patients.

objectiveThe primary aim is to study the association of workarounds with MAEs in the BCMA process. Second, we will determine the frequency and type of workarounds and MAEs and explore the potential risk factors (determinants) for workarounds.

methodsThis is a multicenter prospective study on internal medicine and surgical wards of 4 Dutch hospitals using BCMA systems to administer medication. We will include a total of 6000 individual drug administrations using direct observation to collect data.

resultsThe project was funded in 2014 and enrollment was completed at the end of 2016. Data analysis is under way and the first results are expected to be submitted for publication at the end of 2017.

conclusionsIf an association between workarounds and MAEs is established, this information can be used to reduce the frequency of MAEs. Information on determinants of workarounds can aid in a focused approach to reduce workarounds and thus increase patient safety.

trial registrationNetherlands Trial Register NTR4355; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4355 (Archived by WebCite at http://www.webcitation.org/6pqTLxc6i).

Indexed as

bar code-assisted medication administration systemsbar coded medication administrationBCMAmedication administration errorsmedication safety, hospitalsworkarounds

Identifiers

PMID28455275
PMCPMC5429431
OpenAlexW2608048621

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.