Mindful Workarounds in Bar Code Medication Administration

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)740-744
Number of pages5
JournalStudies in Health Technology and Informatics
Publication statusPublished - 25 May 2022
EventMedical Informatics Europe (MIE2022): Challenges of Trustable AI and Added-Value on Health - Nice, France
Duration: 27 May 202230 May 2022


  • Electronic Data Processing/methods
  • Humans
  • Medication Errors/prevention & control
  • Medication Systems, Hospital
  • Pharmaceutical Preparations
  • workarounds
  • Medication safety
  • barcoding
  • closed-loop systems


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