Pharmacy workers' perceptions and acceptance of bar-coded medication technology in a pediatric hospital. Res Social Adm Pharm 2012;8(6):509-22
Date
03/16/2012Pubmed ID
22417887Pubmed Central ID
PMC3390462DOI
10.1016/j.sapharm.2012.01.004Scopus ID
2-s2.0-84869885128 (requires institutional sign-in at Scopus site) 28 CitationsAbstract
BACKGROUND: The safety benefits of bar-coded medication-dispensing and administration (BCMA) technology depend on its intended users favorably perceiving, accepting, and ultimately using the technology.
OBJECTIVES: (1) To describe pharmacy workers' perceptions and acceptance of a recently implemented BCMA system and (2) to model the relationship between perceptions and acceptance of BCMA.
METHODS: Pharmacists and pharmacy technicians at a Midwest U.S. pediatric hospital were surveyed following the hospital's implementation of a BCMA system. Twenty-nine pharmacists' and 10 technicians' self-reported perceptions and acceptance of the BCMA system were analyzed, supplemented by qualitative observational and free-response survey data. Perception-acceptance associations were analyzed using structural models.
RESULTS: The BCMA system's perceived ease of use was rated low by pharmacists and moderate by pharmacy technicians. Both pharmacists and technicians perceived that the BCMA system was not useful for improving either personal job performance or patient care. Pharmacy workers perceived that individuals important to them encouraged BMCA use. Pharmacy workers generally intended to use BCMA but reported low satisfaction with the system. Perceptions explained 72% of the variance in intention to use BCMA and 79% of variance in satisfaction with BCMA.
CONCLUSIONS: To promote their acceptance and use, BCMA and other technologies must be better designed and integrated into the clinical work system. Key steps to achieving better design and integration include measuring clinicians' acceptance and elucidating perceptions and other factors that shape acceptance.
Author List
Holden RJ, Brown RL, Scanlon MC, Karsh BTAuthor
Matthew C. Scanlon MD Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Attitude of Health Personnel
Attitude to Computers
Clinical Pharmacy Information Systems
Cross-Sectional Studies
Female
Health Care Surveys
Health Knowledge, Attitudes, Practice
Hospitals, Pediatric
Humans
Job Satisfaction
Male
Medication Errors
Middle Aged
Patient Safety
Perception
Pharmacists
Pharmacy Service, Hospital
Pharmacy Technicians
Program Evaluation
Surveys and Questionnaires
Wisconsin
Workflow
Young Adult