Mindful Workarounds in Bar Code Medication Administration.

Autor: Lichtner V; Leeds University Business School, University of Leeds, UK., Dowding D; School of Health Sciences, University of Manchester, UK.
Jazyk: angličtina
Zdroj: Studies in health technology and informatics [Stud Health Technol Inform] 2022 May 25; Vol. 294, pp. 740-744.
DOI: 10.3233/SHTI220575
Abstrakt: Bar-Coded Medication Administration systems (BCMA) are often used with workarounds. These workarounds are usually judged against standard operating procedures or the use of the technology as 'designers' intended'. However, some workarounds may be reasonable and justified to prevent safety errors. In this conceptual paper, we clarify BCMA safety mechanisms and provide a framework to identify workarounds with BCMA that nullify the error prevention mechanisms inherent in the technology design and process. We also highlight the importance of understanding the purpose behind a nurse's workaround in BCMA, focusing on the notion of mindful (thoughtful) workarounds that have the potential to improve patient safety.
Databáze: MEDLINE