Close

Presentation

A Human-Centered Design Approach to Bar Code Medication Administration (BCMA) Alert Message Evaluation and Redesign
DescriptionDuring bar code medication administration (BCMA), clinicians use scanning technology to match patients to ordered medication and review messages that provide information about potential safety concerns. This work describes an approach to evaluating and revising BCMA messages for patient safety and usability. The work was done using an iterative human centered design (HCD) approach in a workgroup that included clinicians and clinician informaticists representing multiple areas within the health care system. The initial effort consisted of usability inspection to identify, classify, and explain the usability concerns with the alert message language. Next, a workgroup consisting of nurses, nurse informaticists, pharmacists, and human factors engineers convened and began a process of redesigning the messages. The process included identification of alert messages, discussion of revised language, and evaluation of mockups of alternative messages based on expertise from various areas of pharmacy, nursing, and medicine as well as usability and design principles. A usability assessment with representative end users was conducted on a subset of messages identified as most critical and/or confusing. The revised alert messages should support the clinicians in understanding the system and promote patient safety.