Thirty percent of medical mistakes are drug-related. In order to prevent malpractice involving drugs, at Nara Medical University Hospital we had been working on a wide range of measures to prevent dispensing errors, for example, printing shelf numbers on prescriptions and cautions for shelves. However, we were unable to completely avoid dispensing errors. In view of this we have been using a dedicated dispensing paper since 2007, giving the shelf number and quantity only, which we print out. For efficient dispensing, shelf numbers are printed in order, and the printing procedure was improved for efficiency in the use of the dispensing paper. As a result, dispensing errors have decreased and we have been able to maintain this for more than three years. We therefore consider that the dispensing paper is useful in preventing dispensing errors.
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