<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-6343</journal-id>
<journal-title><![CDATA[Farmacia Hospitalaria]]></journal-title>
<abbrev-journal-title><![CDATA[Farm Hosp.]]></abbrev-journal-title>
<issn>1130-6343</issn>
<publisher>
<publisher-name><![CDATA[Grupo Aula Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-63432020000300008</article-id>
<article-id pub-id-type="doi">10.7399/fh.11410</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Implementing barcode medication administration and smart infusion pumps is just the beginning of the safety journey to prevent administration errors]]></article-title>
<article-title xml:lang="es"><![CDATA[La implementación de la administración de medicamentos con código de barras y las bombas de infusión inteligentes es sólo el comienzo del camino seguro para prevenir los errores de administración]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Michalek]]></surname>
<given-names><![CDATA[Christina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carson]]></surname>
<given-names><![CDATA[Stacy L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Institute for Safe Medication Practices  ]]></institution>
<addr-line><![CDATA[Horsham Pennsylvania]]></addr-line>
<country>US</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,AdventHealth Orlando  ]]></institution>
<addr-line><![CDATA[Orlando Florida]]></addr-line>
<country>US</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>3</numero>
<fpage>114</fpage>
<lpage>121</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-63432020000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-63432020000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-63432020000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Healthcare-related technology has been widely accepted as a key patient safety solution to reduce adverse drug events by decreasing the risk of human error. The introduction of technology can enhance safety and support workflow; however, it does not eliminate all error types and may create new ones. Barcode medication administration and smart infusion pumps are two technologies utilized during medication administration to prevent medication errors before they reach the patient.  Objective: This article reviewed different error types with barcode medication administration and smart infusion pumps and examined how these errors were able to occur while using the technology. Recommendations for preventing these types of errors were also discussed.  Conclusion: Hospitals must understand the technology, how it is designed to work, which errors it is intended to prevent, as well as understand how it will change staff workflow. It is essential that metrics are set by hospital leadership and regularly monitored to ensure optimal use of these technologies. It is also important to identify and avoid workarounds which eliminate or diminish the safety benefits that the technology was designed to achieve. Front line staff feedback should be gathered on a periodic basis to understand any struggles with utilizing the technology. Leaders must also understand that even with full implementation of technology, medication errors may still occur.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La tecnología sanitaria se ha convertido en la solución más aceptada para reducir los eventos adversos provocados por los medicamentos, minimizando los posibles errores humanos. La introducción de la tecnología puede mejorar la seguridad y permitir una mayor eficiencia en la clínica. Sin embargo, no elimina todos los tipos de error y puede crear otros nuevos. La administración de medicamentos con código de barras y la utilización de bombas de infusión inteligentes son dos estrategias que pueden emplearse durante la administración de medicamentos para evitar errores antes de que estos lleguen al paciente.  Objetivo: En este artículo se han revisado diferentes tipos de errores relativos a la administración de medicamentos con código de barras y las bombas de infusión inteligentes, y se ha examinado la forma en la que se producían dichos errores al emplear la tecnología. También se exponen las recomendaciones encaminadas a evitar este tipo de errores.  Conclusión: Los hospitales deben comprender la tecnología, su funcionamiento y los errores que pretende evitar, así como analizar de qué manera cambiará los procesos clínicos. Es esencial que la dirección del hospital establezca las métricas necesarias y las monitorice regularmente para garantizar el uso óptimo de estas tecnologías. También es importante identificar y evitar desviaciones en los procesos que puedan eliminar o disminuir los beneficios de seguridad para los que fue diseñada. De igual forma, es necesario recopilar periódicamente las opiniones del profesional que la utiliza para detectar los posibles problemas que pudieran surgir. Sin embargo, la dirección debe ser consciente de que incluso con la implementación completa de la tecnología pueden surgir errores a la hora de administrar la medicación.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Barcode]]></kwd>
<kwd lng="en"><![CDATA[Infusion pumps]]></kwd>
<kwd lng="en"><![CDATA[Medication errors]]></kwd>
<kwd lng="en"><![CDATA[Technology]]></kwd>
<kwd lng="en"><![CDATA[Patient safety]]></kwd>
<kwd lng="en"><![CDATA[Adverse drug events]]></kwd>
<kwd lng="en"><![CDATA[Medication systems]]></kwd>
<kwd lng="es"><![CDATA[Código de barras]]></kwd>
<kwd lng="es"><![CDATA[Bombas de infusión]]></kwd>
<kwd lng="es"><![CDATA[Errores de medicación]]></kwd>
<kwd lng="es"><![CDATA[Tecnología]]></kwd>
<kwd lng="es"><![CDATA[Seguridad del paciente]]></kwd>
<kwd lng="es"><![CDATA[Eventos adversos por medicamentos]]></kwd>
<kwd lng="es"><![CDATA[Sistemas de medicación]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<source><![CDATA[Medication Errors]]></source>
<year>2007</year>
<edition>2a</edition>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[American Pharmacists Association]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elliott]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Camacho]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Campbell]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Jankovic]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Martyn]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kaltenthaler]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Prevalence and economic burden of medication errors in the NHS in England: Rapid evidence synthesis and economic analysis of the prevalence and burden of medication error in the UK. Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU)]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<source><![CDATA[Medication errors and adverse drug events. Agency for Healthcare Research and Quality Patient Safety Network]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Global campaign: Medication Without Harm]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<article-title xml:lang=""><![CDATA[Understanding human over-reliance on technology]]></article-title>
<source><![CDATA[ISMP Medication Safety Alert!]]></source>
<year>2016</year>
<volume>21</volume>
<numero>18</numero>
<issue>18</issue>
<page-range>1-4</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grissinger]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medication errors involving overrides in healthcare technology]]></article-title>
<source><![CDATA[Pa Patient Saf Advis]]></source>
<year>2015</year>
<volume>12</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>141-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leape]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Bates]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
<name>
<surname><![CDATA[Cullen]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Demonaco]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
<name>
<surname><![CDATA[Gallivan]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Systems analysis of adverse drug events. ADE Prevention Study Group]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>1995</year>
<volume>274</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>35-43</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="">
<collab>American Hospital Association, Health Research &amp; Educational Trust, Institute for Safe Medication Practices</collab>
<source><![CDATA[Pathways for Medication Safety: Assessing Bedside Bar-Coding Readiness]]></source>
<year>2002</year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Pedersen]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Scheckelhoff]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017]]></article-title>
<source><![CDATA[Am J Health-Syst Pharm]]></source>
<year>2018</year>
<volume>75</volume>
<numero>16</numero>
<issue>16</issue>
<page-range>1203-26</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Paoletti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Suess]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Lesko]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Feroli]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kennel]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mahler]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Using bar-code technology and medication observation methodology for safer medication administration]]></article-title>
<source><![CDATA[Am J Health-Syst Pharm]]></source>
<year>2007</year>
<volume>64</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>536-43</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seibert]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Maddox]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Flynn]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of barcode technology with electronic medication administration record on medication accuracy rates]]></article-title>
<source><![CDATA[Am J Health-Syst Pharm]]></source>
<year>2014</year>
<volume>71</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>209-18</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Koppel]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Wetterneck]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Telles]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Karsh]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Workarounds to barcode medication administration systems: Their occurrences, causes, and threats to patient safety]]></article-title>
<source><![CDATA[J Am Med Inform Assoc]]></source>
<year>2008</year>
<volume>15</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>408-23</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Fortier]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Garrison]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bar code medication administration technology: Characterization of high-alert medication triggers and clinician workarounds]]></article-title>
<source><![CDATA[Ann Pharmacother]]></source>
<year>2011</year>
<volume>45</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>162-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<article-title xml:lang=""><![CDATA[Barcode scanning after drug administration has little value]]></article-title>
<source><![CDATA[ISMP Medication Safety Alert!]]></source>
<year>2011</year>
<volume>16</volume>
<numero>13</numero>
<issue>13</issue>
<page-range>1-3</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<article-title xml:lang=""><![CDATA[Scanner beep only means the barcode has been scanned]]></article-title>
<source><![CDATA[ISMP Medication Safety Alert!]]></source>
<year>2011</year>
<volume>16</volume>
<numero>13</numero>
<issue>13</issue>
<page-range>1-2</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<collab>Pennsylvania Patient Safety Authority</collab>
<article-title xml:lang=""><![CDATA[Let's Stop this &#8220;Epi"demic! - Preventing errors with epinephrine]]></article-title>
<source><![CDATA[Pa Patient Saf Advis]]></source>
<year>2006</year>
<volume>3</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>16-7</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<collab>Pennsylvania Patient Safety Authority</collab>
<article-title xml:lang=""><![CDATA[An update on the &#8220;Epi"demic: events involving epinephrine]]></article-title>
<source><![CDATA[Pa Patient Saf Advis]]></source>
<year>2009</year>
<volume>6</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>102-3</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<article-title xml:lang=""><![CDATA[CMS 30-minute rule for drug administration needs revision]]></article-title>
<source><![CDATA[ISMP Medication Safety Alert!]]></source>
<year>2010</year>
<volume>15</volume>
<numero>18</numero>
<issue>18</issue>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<collab>Pennsylvania Patient Safety Authority</collab>
<article-title xml:lang=""><![CDATA[Medication errors occurring with the use of bar-code administration technology]]></article-title>
<source><![CDATA[Pa Patient Saf Advis]]></source>
<year>2008</year>
<volume>5</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>122-6</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="">
<collab>The Leapfrog Group</collab>
<source><![CDATA[Factsheet: Bar code medication administration]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vanderveen]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[From smart pumps to intelligent infusion systems -The promise of interoperability. Patient Safety &amp; Quality Healthcare]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<source><![CDATA[Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dunford]]></surname>
<given-names><![CDATA[BB]]></given-names>
</name>
<name>
<surname><![CDATA[Perrigino]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tucker]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Gaston]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Young]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vermace]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Organizational, cultural, and psychological determinants of smart infusion pump work arounds: A study of 3 U.S. health systems]]></article-title>
<source><![CDATA[J Patient Saf]]></source>
<year>2017</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>162-8</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<article-title xml:lang=""><![CDATA[Administering a saline flush &#8220;site unseen" can lead to a wrong route error]]></article-title>
<source><![CDATA[ISMP Medication Safety Alert!]]></source>
<year>2013</year>
<volume>18</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1-3</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<article-title xml:lang=""><![CDATA[Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm]]></article-title>
<source><![CDATA[ISMP Medication Safety Alert!]]></source>
<year>2018</year>
<volume>23</volume>
<numero>20</numero>
<issue>20</issue>
<page-range>1-4</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<article-title xml:lang=""><![CDATA[Smart pump custom concentrations without hard &#8220;low concentration" alerts can lead to patient harm]]></article-title>
<source><![CDATA[ISMP Medication Safety Alert!]]></source>
<year>2018</year>
<volume>23</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1-4</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="">
<collab>National Coordinating Council for Medication Error Reporting and Prevention</collab>
<source><![CDATA[About Medication Errors: What is a medication error?]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="">
<collab>Institute for Safe Medication Practices (ISMP)</collab>
<source><![CDATA[Glossary: Barcode scanning technology. Medication Safety Self-Assessment for High-Alert Medications]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Debono]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Greenfield]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Travaglia]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Long]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Black]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nurses' workarounds in acute healthcare settings: a scoping review]]></article-title>
<source><![CDATA[BMC Health Serv Res]]></source>
<year>2013</year>
<volume>13</volume>
<page-range>175</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
