Bar code scanning of infant formulas at the time of feeding reduces risk of formula misadministration

The use of bar code scanning technology to reduce risk of human error has become common in the healthcare setting, particularly with the administration of medications, blood products, and human milk (HM). However, the practice of using bar code scanning when administering infant formulas is highly variable between organizations, although administering an incorrect formula could have significant clinical impact, including metabolic or electrolyte disturbances, allergic reactions, or gastrointestinal intolerance. Studies have been published evaluating near misses in HM administration, and emerging data have considered the benefits of bar code scanning with adult enteral nutrition; however, there is little discussion in the literature about the use of such technology when feeding infant formulas. This study found that scanning the infant's armband and the bar code on ready-to-feed or prepared infant formulas prevented formula misadministration on average 105.5 times per month, suggesting that such technology improves patient safety.