Date of Conferral

2022

Degree

Ph.D.

School

Health Services

Advisor

David Segal

Abstract

Medication administration challenges within the United States hospital system have led to adverse drug events from medication errors among patients, resulting in 1.3 million emergency room visits and 350,000 hospitalizations annually. Radio frequency identification (RFID) has been identified as a useful tool within hospital systems; however, this technology has been slow to be incorporated to manage medication administration processes, necessitating exploration of predicting factors of RFID adoption. This quantitative, cross-sectional study explored the contributing factors of United States hospital’s adoption of RFID for medication administration using the technology-organization-environment framework as a foundation and secondary data from the Health Information Management Systems Society’s survey of United States hospitals. A binary regression analysis was used to explore the relationships between technological (RFID interoperability, networked environment, and vendor selection), organizational (hospital size, financial status, and presence of a chief information officer), and environmental (presence of an Electronic Medical Record and the attainment of Health Information and Management Systems Society Stage 6) factors as predictors of RFID adoption for medication administration. The results of this study found an association between RFID interoperability and either no association or the inability to determine a relationship between the remaining variables and RFID adoption for medication administration. This research contributes and supports social change research as it provides information for hospital leaders exploring best practices for improving medication administration in hospitals via technological solutions.

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