TY  - JOUR
AU  - Landman, Adam
AU  - Neri, Pamela M
AU  - Robertson, Alexandra
AU  - McEvoy, Dustin
AU  - Dinsmore, Michael
AU  - Sweet, Micheal
AU  - Bane, Anne
AU  - Takhar, Sukhjit S
AU  - Miles, Stephen
PY  - 2014
DA  - 2014/06/02
TI  - Efficiency and Usability of a Near Field Communication-Enabled Tablet for Medication Administration
JO  - JMIR mHealth uHealth
SP  - e26
VL  - 2
IS  - 2
KW  - medication systems
KW  - medication errors
KW  - mobile applications
KW  - automatic data processing
KW  - nursing
AB  - Background: Barcode-based technology coupled with the electronic medication administration record (e-MAR) reduces medication errors and potential adverse drug events (ADEs). However, many current barcode-enabled medication administration (BCMA) systems are difficult to maneuver and often require multiple barcode scans. We developed a prototype, next generation near field communication-enabled medication administration (NFCMA) system using a tablet. Objective: We compared the efficiency and usability of the prototype NFCMA system with the traditional BCMA system. Methods: We used a mixed-methods design using a randomized observational cross-over study, a survey, and one-on-one interviews to compare the prototype NFCMA system with a traditional BCMA system. The study took place at an academic medical simulation center. Twenty nurses with BCMA experience participated in two simulated patient medication administration scenarios: one using the BCMA system, and the other using the prototype NFCMA system. We collected overall scenario completion time and number of medication scanning attempts per scenario, and compared those using paired t tests. We also collected participant feedback on the prototype NFCMA system using the modified International Business Machines (IBM) Post-Study System Usability Questionnaire (PSSUQ) and a semistructured interview. We performed descriptive statistics on participant characteristics and responses to the IBM PSSUQ. Interview data was analyzed using content analysis with a qualitative description approach to review and categorize feedback from participants. Results: Mean total time to complete the scenarios using the NFCMA and the BCMA systems was 202 seconds and 182 seconds, respectively (P=.09). Mean scan attempts with the NFCMA was 7.6 attempts compared with 6.5 attempts with the BCMA system (P=.12). In the usability survey, 95% (19/20) of participants agreed that the prototype NFCMA system was easy to use and easy to learn, with a pleasant interface. Participants expressed interest in using the NFCMA tablet in the hospital; suggestions focused on implementation issues, such as storage of the mobile devices and infection control methods. Conclusions: The NFCMA system had similar efficiency to the BCMA system in a simulated scenario. The prototype NFCMA system was well received by nurses and offers promise to improve nurse medication administration efficiency. 
SN  - 2291-5222
UR  - http://mhealth.jmir.org/2014/2/e26/
UR  - https://doi.org/10.2196/mhealth.3215
UR  - http://www.ncbi.nlm.nih.gov/pubmed/25100043
DO  - 10.2196/mhealth.3215
ID  - info:doi/10.2196/mhealth.3215
ER  -