Bridging Best Practice and Just Culture: Driving BCMA Success Across a Health System
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This presentation highlights effective Barcode Medication Administration (BCMA) processes as a high-leverage strategy for improving medication safety by ensuring accurate verification of the right patient, medication, dose, and timing. It will discuss a systems-based approach to closing best-practice gaps and achieving high BCMA utilization rates—targeting above 95%—across a health system. Strategies include understanding scanning processes, addressing technology and workflow barriers, expanding BCMA use beyond inpatient units, and fostering a culture of safety through education and multidisciplinary collaboration.
Additionally, the presentation emphasizes the importance of applying a Just Culture framework to promote accountability and continuous improvement. It outlines actionable steps for sustaining performance after initial goals are met, including ongoing monitoring, identifying new areas to focus efforts on, and celebrating successes to maintain engagement and uphold medication safety standards over time.
Mara Miller
Medication Safety Coordinator
Kaweah Health
Mara Miller is the Medication Safety Coordinator at Kaweah Health in Visalia, California. She graduated with her PharmD from Touro University, California and completed a PGY1 Residency at Kaweah Delta Medical Center. Mara has a diverse clinical background, having practiced as a clinical pharmacist for in areas including internal medicine, neonatal ICU, critical care, emergency medicine, and pharmacy operations before focusing her expertise on medication safety. Mara oversees the medication safety program for Kaweah Health, including the organization’s medication error reduction plan that focuses on improving safety across the entire medication use process. Her current areas of focus includes optimizing the use of high leverage strategies that hardwire the safe use of medication, including dose error reduction software, interoperability as well as EHR functionality . She is a Just Culture champion for her organization and serves on the ASHP Section of Inpatient Care Practitioners Medication Safety Advisory Group.
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