Medication administration errors in nursing homes using an automated medication dispensing system.
van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform Assoc. 2009;16(4):486-92. doi:10.1197/jamia.M2959.
This study discovered that medication administration at nursing homes is an error-prone process, particularly around administration techniques and wrong time errors. A past AHRQ WebM&M commentary discussed a case of a nurse who bypassed the safeguards of an automated dispensing system at a nursing facility, which led to a serious medication error.