Effectiveness of the automated drug dispensing system: systematic review and meta-analysis

Carvalho, Márglory Fraga de; Marques, Juliana Mendes; Marta, Cristiano Bertolossi; Peregrino, Antônio Augusto de Freitas; Schutz, Vivian; Silva, Roberto Carlos Lyra da

doi:10.1590/0034-7167-2018-0942

Cited by 6 publications

(2 citation statements)

References 22 publications

(29 reference statements)

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“…Atualmente, os sistemas automatizados implicam alto custo para a instituição devido à necessidade de treinamento, compra de sistemas e suporte técnico, que impactam a sua implementação em hospitais com menos recursos financeiros, como os filantrópicos (13) . Mas, após a sua implementação, pode-se criar um processo mais seguro e promover a eficiência do cuidado, reduzindo os custos em longo prazo (14) .…”

Section: Discussionunclassified

Meanings and actions inferred by nurses for minimizing medication errors in pediatrics

Moraes¹,

Camargo²,

Silva³

et al. 2022

Rev Rene

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Objective: to understand the meanings and actions inferred by nurses to minimize the error in the administration of medications in pediatrics. Methods: a qualitative study anchored in Symbolic Interactionism. Data were collected through semi-structured interviews with 11 nurses, who attributed the meanings and their actions to reduce medication errors in Pediatrics. The content analysis was composed of pre-analysis, exploration, treatment and interpretation of data. Results: three categories emerged: Individual actions (planning, attention, communication and application of the checklist in the use of the “right ones”); Multi-professional and organizational interactions (teamwork, automated system, staff dimensioning, double-checking in checking medications, professional articulation, organizational actions, institutional policies and communication) and Continuing education strategies (training and capacity building). Conclusion: technical aspects, work dynamics, need for updating, attitudes related to individual actions, multi-professional interactions, organizational and continuing education were meanings and actions inferred by nurses for the minimization of the error in medication administration in Pediatrics. Contributions to practice: it is necessary that the topic of medication administration be a continuous point in the permanent education programs in the health services in order to guarantee the minimization of errors and thus promote greater safety for users.

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Section: Discussionunclassified

Meanings and actions inferred by nurses for minimizing medication errors in pediatrics

Moraes¹,

Camargo²,

Silva³

et al. 2022

Rev Rene

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“…Reduction in errors associated with these systems most commonly relate to improvement in wrong-time errors rather than, the anticipated, reduction in errors causing harm (Cottney, 2014). Another systematic review and meta-analysis reported that the use of AMD technology led to the emergence of new errors including filling or refilling errors, errors in withdrawal from the AMD and override errors, all closely related to human factors (de Carvalho et al, 2020). AMD system optimisation, to maximise benefits of technology, including expansion of imprest stock and removal of infrequently used stock, are critical (McCarthy et al, 2016).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Implementation of distributed automated medication dispensing units in a new hospital: Nursing and pharmacy experience

Craswell

Bennett

Hanson

et al. 2021

Journal of Clinical Nursing

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Aims and objectives: To explore the structures, processes and outcomes involved in an Automated Medication Dispensing system implementation and its impact on patient safety.Background: Increasing digitalisation of medication prescribing, dispensing, administration and stock management has occurred over the past two decades. While automated medication dispensing units aim to provide safe, high-quality, patient-centred care, the implementation may result in unintended consequences leading to suboptimal outcomes.Design: This study uses a qualitative approach guided by Donabedian's structure, process and outcome framework.Methods: Twenty-six registered nurses and pharmacy assistant staff, from clinical areas equipped with automated medication dispensing cabinets, participated in semi-structured interviews. In-depth, thematic analysis explored the structures and processes. Together with interview data, content analysis of text data generated by internal risk management and critical incident reporting systems was undertaken to evaluate outcomes. Findings were considered in light of the Interactive Sociotechnical Analysis approach to health information technology. The COREQ checklist was used in preparation of this article.Results: Pharmacy assistants reported better satisfaction with the system at implementation than nurses. Training provided for nurses and their involvement in system implementation was reported as insufficient; however, nurses' use of and satisfaction with the system improved over time. A recursive relationship between the changes imposed by the system and nurses' creative problem solving (workarounds) used to manage these changes, impacted work productivity for nurses and safety for patients. Conclusions:The individualised nature of "workarounds" employed offered both risks and opportunities which require further identification, investigation and management.Relevance to clinical practice: Nurses are the majority of the health workforce.Digitalisation of traditionally paper-based activities in health care, impacting nursing work, requires similar strategies to any practice change.

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Automated unit dose dispensing systems producing individually packaged and labelled drugs for inpatients: a systematic review

et al. 2021

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Effectiveness of the automated drug dispensing system: systematic review and meta-analysis

Cited by 6 publications

References 22 publications

Meanings and actions inferred by nurses for minimizing medication errors in pediatrics

Meanings and actions inferred by nurses for minimizing medication errors in pediatrics

Implementation of distributed automated medication dispensing units in a new hospital: Nursing and pharmacy experience

Automated unit dose dispensing systems producing individually packaged and labelled drugs for inpatients: a systematic review

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