Date of Award
Summer 8-20-2023
Degree Type
Dissertation
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Abstract
Purpose: This study aimed to determine whether the multimodal implementation of visual aids in anesthesia drug drawers, dissemination of virtual reminders through email and scheduling software, and alteration of the barcode scanner location to a more convenient location will improve barcode medication administration (BCMA) compliance.
Design: This study was a time series design study utilizing a retrospective chart review.
Methods: The data collection points included pre- vs. post-intervention, anesthesia provider type, medication type (ephedrine or phenylephrine), and whether the barcode was scanned or not. Chi-squared tests and logistic regression analysis were performed.
Findings: The Chi-squared tests indicated that the type of anesthesia providers (p<0.0001), type of medication (p=0.012), and pre- vs. post-intervention (p<0.0001) were all significant factors associated with barcode scanning compliance of anesthesia medications. BCMA scanning compliance increased by 28.3% from pre- to post-intervention. The logistic regression showed that certified registered nurse anesthetists (CRNA) were more likely to comply with barcode scanning of anesthesia medications than physician anesthesiologists. There were no significant differences between student registered nurse anesthetists (SRNA) and physician anesthesiologists regarding the scanning rate. In the context of medication type, phenylephrine was 1.48 times more likely to be scanned than ephedrine.
Conclusion: A multimodal intervention including various visual reminders and a location change of the barcode reader increased BCMA compliance. Institutions should implement strategies and policies to reduce medication errors. Continuous professional development regarding the compliance of BCMA technology is essential to reduce anesthesia medication error.
Recommended Citation
Calderon, Andrew, "Increasing Anesthesia Bar Code Medication Administration Scanning Compliance" (2023). College of Science and Health Theses and Dissertations. 595.
https://via.library.depaul.edu/csh_etd/595
SLP Collection
yes