Medication management in a quaternary care hospital is a complex process that requires high quality standards and technology driven solution. Besides Safety and accuracy, it also requires integration of the fragmented process of medication management from prescribing till point of administration and discharge. One of the challenges encountered by pharmacy services were the presence of look-alike sound alike drugs and potential to cause dispensing errors. The objective of this study was to enhance safety, efficiency, and effectiveness of medication management System from dispensing till administration through home grown barcode medication dispensing Process. PDSA (PLAN-DO-STUDY-ACT) methodology was adopted for this project. Pharmacy services with information technology team Re-engineered various business processes including inventory replenishment, unit dose refill, routine medication dispensing, and medication returns. Since very few Products were provided by Pharmaceutical Companies with Manufacturer’s barcode, therefore instead of opting for manufacturer’s barcode, the entire Medication inventories were labelled with in house-barcode label [QR Codes]. The Project was implemented in total 401 beds including children’s hospital, surgery units and Private wing units during initial phase and later extended in 580 beds.

Keywords : Barcode, Patient’s safety, Medication Errors, PDSA.