Incorrect drug selection at the point of dispensing: a study of potential predisposing factors

Anto, Berko Panyin; Barlow, David J.; Oborne, C. Alice; Whittlesea, Cate

doi:10.1111/j.2042-7174.2010.00072.x

Cited by 22 publications

(12 citation statements)

References 16 publications

(28 reference statements)

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“…Os fatores mais comuns encontrados em outras pesquisas foram: alta carga de trabalho, baixo número de funcionários, confusão com nomes e sons parecidos/similares, falta de conhecimento/experiência da equipe da farmácia, pressa e interrupções/distrações. Entretanto, estes fatores foram apontados a partir de relatos subjetivos, entrevistas e/ou formulários de notificação de incidentes [13][14][15][16][17][18] .…”

Section: Discussionunclassified

“…Talvez isso possa ser explicado pela ausência do farmacêutico, em 62.2% das coletas noturnas, e pela sobrecarga de trabalho do técnico, que nesse caso era o único colaborador na farmácia, dificultando a realização de todas as atividades necessárias. A sobrecarga é o principal fator apontado por farmacêuticos e técnicos em outras pesquisas [13][14][15] e a privação do sono em trabalhos noturnos pode levar à fadiga e, consequentemente, a uma diminuição do desempenho, da atenção e do tempo de reação; aumentando, assim, a vulnerabilidade a erros 5 .…”

Section: Discussionunclassified

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Fatores associados a erros de dispensação de medicamentos: contribuição à melhoria de sistemas de medicação

et al. 2019

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Objetivo: analisar os fatores associados e identificar os tipos de erros de dispensação (ED) de medicamentos. Método: estudo transversal realizado com 5604 medicamentos dispensados em hospital universitário brasileiro, em 2016 e 2017. Após obtenção dos dados, pela aplicação de checklist e abertura dos kits de dispensação, utilizou-se regressão hierarquizada ajustada para identificação dos fatores associados ao ED. Resultados: os ED ocorreram em 236 medicamentos e os vários métodos de cálculo permitiram as taxas: 4,2%, 7,3% e 24,9%. Os principais erros foram de conteúdo por desvio de qualidade e de omissão. No modelo final da regressão, permaneceram associadas ao aumento da chance de ED as variáveis: turno da noite e presença de fonte de interrupção/distração. Conclusão: a frequência de ED foi mais baixa quando se utilizou o método de cálculo do Ministério da Saúde. Os fatores relacionados ao turno da noite e ao uso de fontes de interrupção/distração podem estar associados a ED, especialmente ao de omissão.

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Section: Discussionunclassified

Fatores associados a erros de dispensação de medicamentos: contribuição à melhoria de sistemas de medicação

et al. 2019

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“…A related challenge is that even when two pharmacists are on duty at the same time so that they can check each other prescriptions, which would bear the biggest responsibility, should an error reach and harm a patient? It is therefore important that malpractice insurance should be considered by community pharmacies as an essential risk management strategy in this regard ( Aronson, 2009 ; Coetzee & Carstens, 2011 ; Velo & Minuz, 2009 ; Anto et al, 2011 ).…”

Section: Discussionmentioning

confidence: 99%

The Future of Community Pharmacy Practice in South Africa in the Light of the Proposed New Qualification for Pharmacists: Implications and Challenges

Malangu

2014

GJHS

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Objectives:Community or retail pharmacies are regarded as one of the most common sources of health services throughout the world. In South Africa, community pharmacies have been providing some primary health care services to clients who could afford to pay. These services included screening, family planning, and emergency care for minor ailments. With the introduction of the new qualification, community pharmacies are poised to become providers of expanded services. This paper describes the contents, the implications and challenges of the new qualification in light with future directions for community pharmacy practice in South Africa. Its purpose is to inform relevant stakeholders in South Africa and those outside South Africa that may pursue similar offerings.Methods:Published papers were identified through searches in MEDLINE and Google Scholar using a combination of search terms, namely: ‘community, retail pharmacy, pharmacist/non-medical prescribing, South Africa’. Only articles published in English were considered. In addition, documents from the Ministry of Health of South Africa, the South African Pharmacy Council and curricula materials from schools of pharmacy were also reviewed.Key Findings:Laureates of the new qualification will essentially have the right to examine, diagnose, prescribe and monitor the treatment of their clients or patients. In doing so, this expanded function of prescribing for primary healthcare will imply several practice and infrastructural adjustments; and with many challenges laying ahead in need to be addressed.Conclusions:In conclusion, the authorized pharmacist prescriber qualification augurs a new era for community pharmacy practice in South Africa. This has many implications and some challenges that need to be managed. The pharmacy profession, academia, legislators and political decision-makers need to work together to resolve outstanding issues in a constructive manner.

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“…Process steps in drug administration, sources and frequencies of errors and options for error prevention • Hospital care: picking errors account for 23% of disposition errors and are mostly caused by confusions of the strength and more rarely of names [62]. About 2% of picking processes in the inpatient care setting are erroneous [55].…”

Section: Tablementioning

confidence: 99%

Safeguarding the process of drug administration with an emphasis on electronic support tools

Seidling

Lampert

Lohmann

et al. 2013

Brit J Clinical Pharma

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AIMSThe aim of this work is to understand the process of drug administration and identify points in the workflow that resulted in interventions by clinical information systems in order to improve patient safety. METHODSTo identify a generic way to structure the drug administration process we performed peer-group discussions and supplemented these discussions with a literature search for studies reporting errors in drug administration and strategies for their prevention. RESULTSWe concluded that the drug administration process might consist of up to 11 sub-steps, which can be grouped into the four sub-processes of preparation, personalization, application and follow-up. Errors in drug handling and administration are diverse and frequent and in many cases not caused by the patient him/herself, but by family members or nurses. Accordingly, different prevention strategies have been set in place with relatively few approaches involving e-health technology. CONCLUSIONSA generic structuring of the administration process and particular error-prone sub-steps may facilitate the allocation of prevention strategies and help to identify research gaps. WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT• Similar to prescription errors also drug administration errors contribute to a large fraction of preventable medication errors and adverse drug events.• Drug administration can be exceedingly complex with regard to dose form, route of administration, number of co-medications, and setting and accordingly, error rates may vary. WHAT THIS STUDY ADDS• The drug-specific drug administration process can be generically structured for distinct dosage forms to allow identification of particularly error prone steps and allocated prevention strategies.• Potential research gaps in error epidemiology and prevention are highlighted. from 2003-2006 [5]). More than 50% of adults administer drugs daily [6]. This fact, however, does not automatically make drug administration a safe and straightforward process and, indeed, drug administration errors are frequent and in the inpatient setting, roughly 30% of errors resulting in adverse drug events (ADE) happen during drug administration [7]. Comparably susceptible to errors is the prescription process [7]. Whereas for the prescribing process electronic prescription platforms with enhanced clinical decision support tools were implemented as promising error prevention strategy [8], similar and theory-driven approaches are only scarcely available for the administration process [9], even though introduction of electronic support in the drug administration process has shown to reduce error rates [10].Drug treatment is a rather complex and demanding task ( Figure 1) and depending on the setting and co-medication a great number of different errors may occur. The aim of this study was to structure the drug administration process (process 5 in Figure 1) in a way that allowed the allocation of current knowledge on frequent sources of errors as well as successful methods to prevent such errors with a particular emphas...

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Incorrect drug selection at the point of dispensing: a study of potential predisposing factors

Cited by 22 publications

References 16 publications

Fatores associados a erros de dispensação de medicamentos: contribuição à melhoria de sistemas de medicação

Fatores associados a erros de dispensação de medicamentos: contribuição à melhoria de sistemas de medicação

The Future of Community Pharmacy Practice in South Africa in the Light of the Proposed New Qualification for Pharmacists: Implications and Challenges

Safeguarding the process of drug administration with an emphasis on electronic support tools

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