National Observational Study of Prescription Dispensing Accuracy and Safety in 50 Pharmacies

作者: Elizabeth Allan Flynn , Kenneth N. Barker , Brian J. Carnahan

DOI: 10.1331/108658003321480731

关键词:

摘要: Objectives To measure dispensing accuracy rates in 50 pharmacies located 6 cities across the United States and describe nature frequency of errors detected. Design Cross-sectional descriptive study. Settings Chain, independent, health-system (located hospitals or managed care organizations). Participants Pharmacy staff at randomly selected each city who accepted an invitation to participate. Intervention Observation by a pharmacist pharmacy for 1 day, with goal inspecting 100 prescriptions (defined as any deviation from prescriber's order). Main Outcome Measure Dispensing on new refill prescriptions. Results Data were collected between July 2000 April 2001. The overall rate was 98.3% (77 among 4,481 prescriptions; range, 87.2%-100.0%; 95.0% confidence interval, + 0.4%). Accuracy did not differ significantly type city. Of 77 identified errors, 5 (6.5%) judged be clinically important. Conclusion are problem national level, about 4 per day filling 250 daily. An estimated 51.5 million occur during 3 billion year.

参考文章(34)
Myrna O'Brodovich, Pegi Rappaport, A Study Pre and Post Unit Dose Conversion in a Pediatric Hospital The Canadian Journal of Hospital Pharmacy. ,vol. 44, pp. 5- ,(1991) , 10.4212/CJHP.V44I1.1740
Michael Richard Cohen, None, Medication errors : causes, prevention, and risk management Jones and Bartlett. ,(2000)
Clifford E. Hynniman, Wayne F. Conrad, William A. Urch, Betty R. Rudnick, Paul F. Parker, A comparison of medication errors under the University of Kentucky unit dose system and traditional drug distribution systems in four hospitals. American Journal of Health-system Pharmacy. ,vol. 27, pp. 802- 814 ,(1970) , 10.1093/AJHP/27.10.802
Jacque M. Borel, Karen L. Rascati, Effect of an automated, nursing unit-based drug-dispensing device on medication errors. American Journal of Health-system Pharmacy. ,vol. 52, pp. 1875- 1879 ,(1995) , 10.1093/AJHP/52.17.1875
Bryony Dean, Nick Barber, Validity and reliability of observational methods for studying medication administration errors. American Journal of Health-system Pharmacy. ,vol. 58, pp. 54- 59 ,(2001) , 10.1093/AJHP/58.1.54
Kenneth N. Barker, Robert L. Mikeal, Robert E. Pearson, Nancy A. Illig, M. Lee Morse, Medication errors in nursing homes and small hospitals American Journal of Health-system Pharmacy. ,vol. 39, pp. 987- 991 ,(1982) , 10.1093/AJHP/39.6.987
Terry L. Buchanan, Kenneth N. Barker, J. Tyrone Gibson, Bernard C. Jiang, Robert E. Pearson, ILLUMINATION AND ERRORS IN DISPENSING American Journal of Health-system Pharmacy. ,vol. 48, pp. 2137- 2145 ,(1991) , 10.1093/AJHP/48.10.2137
Berry J. Means, Henry J. Derewicz, Peter P. Lamy, Medication errors in a multidose and a computer-based unit dose drug distribution system. American Journal of Health-system Pharmacy. ,vol. 32, pp. 186- 191 ,(1975) , 10.1093/AJHP/32.2.186
Una A. Kistner, Matthew R. Keith, Kimberley A. Sergeant, James A. Hokanson, Accuracy of dispensing in a high-volume, hospital-based outpatient pharmacy. American Journal of Health-system Pharmacy. ,vol. 51, pp. 2793- 2797 ,(1994) , 10.1093/AJHP/51.22.2793
Bryony S. Dean, Elizabeth L. Allan, Nicholas D. Barber, Kenneth N. Barker, Comparison of medication errors in an American and a British hospital American Journal of Health-system Pharmacy. ,vol. 52, pp. 2543- 2549 ,(1995) , 10.1093/AJHP/52.22.2543