Despite the implementation of bar-code medication administration (BCMA) on your busy medical unit, you notice that the number of medication errors has not significantly decreased. Which of the following reasons might explain the lack of change in errors?
a. A number of new medications have been introduced into the hospital pharmacy that are not yet recognized in the CDS.
b. There have been an unusually high number of patients on the unit who have been unable to confirm their identity at the time of medication administration.
c. Lack of staff understanding and support for BCMA has led to overrides or failures to scan bar codes during busy times.
d. Clinical data that have been entered into the system to guide administration of the medications are outdated.
ANS: C
Most errors related to technology involve mislabeled bar codes on medications, mistakes at order entry because of confusing computer screens, or issues with management of information. Errors also are related to dispensing devices and human factors, such as failure to scan bar codes or overrides of bar-code warnings.
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