{
  "abstract": "Objectives Data standards and barcoding technologies are implemented in hospitals to uniquely identify objects, people and locations; streamline the management of supplies and inventories; improve efficiency; reduce waste and improve patient safety and quality of care. This study examined the implementation of the Scan4Safety programme at one NHS demonstrator site to understand the hospital experience of adopting these standards, barcoding and related technologies.Methods Exploratory case study design, informed by information infrastructure theory, at one Scan4Safety demonstrator site. Semi-structured interviews were conducted with internal and external stakeholders (n=19), and 67 documents related to the Scan4Safety programme were identified. Interview transcripts and documents underwent thematic analysis.Results Key enablers for Scan4Safety included allocated funding, government role/regulation, executive buy-in/wide stakeholder involvement, patient focus, agile/adaptive approach and data linkage. Challenges were both internal and external, mainly pertaining to data quality, work-as-done and trade-offs. Mechanisms of anticipated positive outcomes and potential risks were also identified.Discussion Scan4Safety benefits are delivered through tracking and tracing capabilities, and automating data capture, alerts and data linkages. For traceability of devices, the benefits depend on the extent to which items are tracked in inventory and consistent barcode scanning at the point of care.Conclusions Linked standards for identification of patients, products, places and procedures, across supplies and hospital processes, constitute a wide-ranging information infrastructure with the potential for significant value to patients and the whole health system.",
  "authors": [
    {
      "affiliations": [
        "School of Health Sciences, The University of Manchester Faculty of Biology Medicine and Health, Manchester, UK",
        "Leeds University Business School, University of Leeds, Leeds, UK"
      ],
      "name": "Valentina Lichtner"
    },
    {
      "affiliations": [
        "Leeds University Business School, University of Leeds, Leeds, UK"
      ],
      "name": "Aleksandra Irnazarow"
    },
    {
      "affiliations": [
        "Leeds Teaching Hospitals NHS Trust, Leeds, UK"
      ],
      "name": "Stephen Bush"
    },
    {
      "affiliations": [
        "School of Health Sciences, The University of Manchester Faculty of Biology Medicine and Health, Manchester, UK"
      ],
      "name": "Dawn Dowding"
    },
    {
      "affiliations": [
        "Leeds Teaching Hospitals NHS Trust, Leeds, UK"
      ],
      "name": "Philip Elphick"
    },
    {
      "affiliations": [
        "Research Department of Practice and Policy, UCL School of Pharmacy, London, UK",
        "NIHR North West London Patient Safety Research Collaboration, London, UK"
      ],
      "name": "Bryony Dean Franklin"
    },
    {
      "affiliations": [
        "Research Department of Practice and Policy, UCL School of Pharmacy, London, UK",
        "Centre for Medicines Optimisation Research and Education, University College London Hospitals NHS Foundation Trust, London, UK"
      ],
      "name": "Yogini H Jani"
    },
    {
      "affiliations": [
        "Leeds Teaching Hospitals NHS Trust, Leeds, UK"
      ],
      "name": "Mark Songhurst"
    }
  ],
  "title": "Complexities and capabilities of Scan4Safety in NHS hospitals: a qualitative study of a national demonstrator site",
  "uid": "38873c3c-3068-52f2-a755-59e1e272a98d"
}