THE ROLE OF BARCODE-BASED MEDICATION ADMINISTRATION IN SUPPORTING MEDICATION SAFETY IN HOSPITALS: A LITERATURE REVIEW
DOI:
https://doi.org/10.58467/ijons.v6i1.270Keywords:
Electronic Data Processing, Hospitals, Medication Errors, Medication Systems, Patient SafetyAbstract
Background: Medication administration errors are a patient safety issue that may result in injury, prolonged hospitalization, increased healthcare costs, and death. Barcode Medication Administration (BCMA) is a barcode-based verification technology used to confirm patient identity, medication, dose, time, and route before medication administration.
Objective: This article aims to review scientific evidence regarding the role of BCMA in preventing medication administration errors and supporting patient safety in hospitals.
Methods: A literature review was conducted using PubMed and ScienceDirect on April 26–27, 2024. The keywords included barcode medication administration, patient safety, medication error, and hospital. Articles were considered eligible if they were published between 2015 and 2024, available in full text, open access, conducted in hospital settings, and addressed BCMA or medication administration safety. Of 662 identified articles, five met the criteria and were synthesized narratively.
Results: The synthesis showed that BCMA has the potential to support patient safety by improving patient and medication verification, strengthening adherence to the rights of medication administration, and reducing several types of medication administration errors. However, its benefits are influenced by infrastructure readiness, barcode quality, hardware and software issues, workflow compatibility, user training, and the risk of non-compliance or workarounds.
Conclusion: BCMA is a technology that has the potential to help prevent medication errors and improve patient safety in hospitals. However, its successful implementation depends not only on the availability of the technology, but also on organizational readiness, nurse training, system integration, and user compliance in consistently following scanning procedures.
References
Barakat, S., & Franklin, B. D. (2020). An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow at a UK Teaching Hospital. Pharmacy (Basel, Switzerland), 8(3), 148. https://doi.org/10.3390/PHARMACY8030148
Brabcová, I., Hajduchová, H., Tóthová, V., Chloubová, I., Červený, M., Prokešová, R., Malý, J., Vlček, J., Doseděl, M., Malá-Ládová, K., Tesař, O., & O’Hara, S. (2023). Reasons for medication administration errors, barriers to reporting them and the number of reported medication administration errors from the perspective of nurses: A cross-sectional survey. Nurse Education in Practice, 70. https://doi.org/10.1016/j.nepr.2023.103642
Cossul, D., Saurin, T. A., da Silva Fraga, R., Pasin, S. S., & de Souza Kuchenbecker, R. (2025). Learning from workarounds in barcode medication administration: a Safety-II perspective. Applied Ergonomics, 129, 104605. https://doi.org/10.1016/j.apergo.2025.104605
Gates, P. J., Hardie, R. A., Raban, M. Z., Li, L., & Westbrook, J. I. (2021). How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. Journal of the American Medical Informatics Association : JAMIA, 28(1), 167–176. https://doi.org/10.1093/JAMIA/OCAA230
Grailey, K., Hussain, R., Wylleman, E., Ezzat, A., Huf, S., & Franklin, B. D. (2023). Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. BMC Nursing, 22(1). https://doi.org/10.1186/S12912-023-01382-X
Hodkinson, A., Tyler, N., Ashcroft, D. M., Keers, R. N., Khan, K., Phipps, D., Abuzour, A., Bower, P., Avery, A., Campbell, S., & Panagioti, M. (2020). Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Medicine, 18(1), 313. https://doi.org/10.1186/s12916-020-01774-9
Jessurun, J. G., Hunfeld, N. G. M., de Roo, M., van Onzenoort, H. A. W., van Rosmalen, J., van Dijk, M., & van den Bemt, P. M. L. A. (2023). Prevalence and determinants of medication administration errors in clinical wards: A two‐centre prospective observational study. Journal of Clinical Nursing, 32(1–2), 208–220. https://doi.org/10.1111/jocn.16215
Kuitunen, S., Laakkonen, L., Janhunen, K., Kvarnström, K., & Linden-Lahti, C. (2025). Facilitators and Barriers Associated With the Use of Barcode Technologies in Drug Preparation and Administration in Hospital Settings—A Narrative Review of Qualitative Studies. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000001381
Macias, M., Bernabeu-Andreu, F. A., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a Barcode Medication Administration System on Patient Safety. Oncology Nursing Forum, 45(1), E1–E13. https://doi.org/10.1188/18.ONF.E1-E13
Mulac, A., Mathiesen, L., Taxis, K., & Gerd Granås, A. (2021). Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ Quality & Safety, 30(12), 1021. https://doi.org/10.1136/BMJQS-2021-013223
Poon, E. G., Keohane, C. A., Yoon, C. S., Ditmore, M., Bane, A., Levtzion-Korach, O., Moniz, T., Rothschild, J. M., Kachalia, A. B., Hayes, J., Churchill, W. W., Lipsitz, S., Whittemore, A. D., Bates, D. W., & Gandhi, T. K. (2010). Effect of Bar-Code Technology on the Safety of Medication Administration. New England Journal of Medicine, 362(18), 1698–1707. https://doi.org/10.1056/NEJMsa0907115
Pruitt, Z. M., Kazi, S., Weir, C., Taft, T., Busog, D.-N., Ratwani, R., & Hettinger, A. Z. (2023). A Systematic Review of Quantitative Methods for Evaluating Electronic Medication Administration Record and Bar-Coded Medication Administration Usability. Applied Clinical Informatics, 14(01), 185–198. https://doi.org/10.1055/s-0043-1761435
Schroers, G., Ross, J. G., & Moriarty, H. (2021). Nurses’ Perceived Causes of Medication Administration Errors: A Qualitative Systematic Review. The Joint Commission Journal on Quality and Patient Safety, 47(1), 38–53. https://doi.org/10.1016/j.jcjq.2020.09.010
van der Veen, W., Taxis, K., Wouters, H., Vermeulen, H., Bates, D. W., van den Bemt, P. M. L. A., Duyvendak, M., Oude Luttikhuis, K., Ros, J. J. W., Vasbinder, E. C., Atrafi, M., Brasse, B., & Mangelaars, I. (2020). Factors associated with workarounds in barcode-assisted medication administration in hospitals. Journal of Clinical Nursing, 29(13–14), 2239–2250. https://doi.org/10.1111/JOCN.15217
Williams, R., Kantilal, K., Man, K. K. C., Blandford, A., & Jani, Y. (2025). Barcode medication administration system use and safety implications: a data-driven longitudinal study supported by clinical observation. BMJ Health & Care Informatics, 32(1), e101214. https://doi.org/10.1136/bmjhci-2024-101214
Yu, W.-N., Cheng, Y.-D., Hou, Y.-C., & Hsieh, Y.-W. (2025). Implementation of Medication-Related Technology and Its Impact on Pharmacy Workflow: Real-World Evidence Usability Study. Journal of Medical Internet Research, 27, e59220. https://doi.org/10.2196/59220
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