Medication errors in a pharmacy-based bar-code-repackaging center.

Jennifer Cina; John Fanikos; Patricia Mitton; Michelle McCrea; William W. Churchill

Study

Medication errors in a pharmacy-based bar-code-repackaging center.

January 25, 2006

Cina J, Fanikos J, Mitton P, et al. Am J Health Syst Pharm. 2006;63(2):165-8.

View more articles from the same authors.

The authors describe a bar-code-repackaging center within their hospital pharmacy and confirm the types of errors prevented after implementing the system.

PubMed citation

Available at

Related Resources From the Same Author(s)

How many hospital pharmacy medication dispensing errors go undetected?

January 31, 2006

Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.

October 7, 2009

Adverse drug events in hospitalized cardiac patients.

November 7, 2007

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.

September 27, 2006

A safe practice standard for barcode technology.

June 3, 2015

The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting.

April 6, 2016

Cost-benefit analysis of a hospital pharmacy bar code solution.

May 16, 2007

Medication errors recovered by emergency department pharmacists.

July 14, 2010

Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.

October 4, 2017

Creating an integrated patient safety team.

August 10, 2005

Patients' experiences with communication-and-resolution programs after medical injury.

October 18, 2017

Advanced practice nursing students' identification of patient safety issues in ambulatory care.

April 10, 2013

Effective strategies to increase reporting of medication errors in hospitals.

January 25, 2006

Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge.

February 11, 2009

Anticoagulation-associated adverse drug events.

December 14, 2011

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury.

July 17, 2019

Effectiveness of acute care remote triage systems: a systematic review.

February 5, 2020

The medical emergency team as a safety net.

November 8, 2006

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.

May 5, 2021

Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.

February 3, 2010

Pediatric emergency department discharge prescriptions requiring pharmacy clarification.

August 5, 2015

Patient safety issues in advanced practice nursing students' care settings.

November 9, 2011

Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.

March 6, 2019

The effect of race and sex on physicians' recommendations for cardiac catheterization.

July 15, 2002

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.

March 30, 2016

Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness.

September 1, 2010

Effect of bar-code technology on the safety of medication administration.

May 12, 2010

Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons.

October 14, 2015

The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery.

March 29, 2012

Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.

December 21, 2016

How to perform a root cause analysis for workup and future prevention of medical errors: a review.

October 19, 2016

The Veterans Affairs root cause analysis system in action.

March 27, 2005

Doctors' handovers in hospitals: a literature review.

March 2, 2011

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

Role-modeling and medical error disclosure: a national survey of trainees.

February 12, 2014

Using an advanced practice nursing model for a rapid response team.

December 3, 2008

Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors.

April 17, 2024

Making healthcare safer by understanding, designing and buying better IT.

July 22, 2015

Implementation of patient safety rounds in a children's hospital.

January 14, 2009

Antiretroviral medication errors in a national medication error database.

January 11, 2006

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis.

August 9, 2023

Nurse sensemaking for responding to patient and family safety concerns.

March 17, 2021

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.

May 17, 2017

Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments

May 24, 2023

Organizational response to known medical errors: does peer review protection impede improvement?

May 30, 2018

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.

May 30, 2018

Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses.

August 26, 2015

Improving self-reporting of adverse drug events in a West Virginia hospital.

October 4, 2006

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs.

July 27, 2016

Understanding the cognitive work of nursing in the acute care environment.

October 19, 2005

Ensuring successful implementation of communication-and-resolution programmes.

March 18, 2020

The link between clinically validated patient safety indicators and clinical outcomes.

January 10, 2018

Preventing diagnostic errors in primary care.

October 12, 2016

Checklists to prevent diagnostic errors: a pilot randomized controlled trial.

July 8, 2015

Texting while doctoring: a patient safety hazard.

December 18, 2013

Medication errors involving pediatric patients.

June 8, 2005

Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.

October 22, 2014

Nursing student medication errors involving tubing and catheters: a descriptive study.

May 13, 2009

The ins and outs of change of shift handoffs between nurses: a communication challenge.

February 22, 2012

The science and economics of improving clinical communication.

February 11, 2009

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.

April 10, 2024

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.

September 8, 2010

Understanding pharmacist decision making for adverse drug event (ADE) detection.

April 15, 2009

Surgeon age and operative mortality in the United States.

October 25, 2006

Deploying med reconciliation.

April 30, 2008

Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort.

August 16, 2023

Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions.

September 5, 2018

Patient voices in hospital safety during the COVID-19 pandemic.

November 2, 2022

Clinical benefits of electronic health record use: national findings.

January 15, 2014

Intralipid medication errors in the neonatal intensive care unit.

February 14, 2007

Adverse drug event reporting in intensive care units: a survey of current practices.

August 2, 2006

Differences in the reporting of care-related patient injuries to existing reporting systems.

March 6, 2005

The role for leaders of health care organizations in patient safety.

September 19, 2007

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

February 29, 2012

Reducing falls with a safety spotter program.

October 14, 2015

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy.

July 29, 2020

Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery.

October 4, 2017

Sleep and circadian misalignment for the hospitalist: a review.

August 3, 2016

Home health staff perspectives on infection prevention and control: implications for Coronavirus Disease 2019.

December 23, 2020

Association of registered nurse and nursing support staffing with inpatient hospital mortality.

September 25, 2019

Understanding safety culture in long-term care: a case study.

March 26, 2014

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

October 14, 2009

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.

December 14, 2022

'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors.

November 24, 2021

'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.

November 20, 2019

Quick Response codes for surgical safety: a prospective pilot study.

October 9, 2013

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

August 19, 2009

Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania.

December 12, 2007

Checklists to reduce diagnostic errors.

February 9, 2011

The impact of abbreviations on patient safety.

September 5, 2007

Using nurses and office staff to report prescribing errors in primary care.

May 7, 2008

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma.

October 26, 2011

Iatrogenic delirium and coma: a "near miss."

May 21, 2008

The association between sepsis and potential medical injury among hospitalized patients.

September 19, 2012

Twenty-four/seven: a mixed-method systematic review of the off-shift literature.

August 29, 2012

Hospital staffing and health care–associated infections: a systematic review of the literature.

October 3, 2018

Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.

December 6, 2017

Related Resources

Taking a closer look at medication errors that involve oxytocin.

June 14, 2023

Journal Article

Study

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

March 29, 2023

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.

February 15, 2023

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

Medication errors: the year in review: January through December 2021.

January 11, 2023

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.

September 21, 2022

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.

July 21, 2021

Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.

November 4, 2020

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents.

July 15, 2020

Preventing medication errors at small and rural hospitals.

May 20, 2020

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

April 15, 2020

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.

July 31, 2019

Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.

July 17, 2019

Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.

February 27, 2019

ASHP guidelines on preventing medication errors in hospitals.

October 17, 2018

Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.

June 13, 2018

Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework.

April 18, 2018

The effects of bar-coding technology on medication errors: a systematic literature review.

April 19, 2017

Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.

September 21, 2016

Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verification.

February 17, 2016

Interventions for reducing medication errors in children in hospital.

October 28, 2015

Reducing errors through discharge medication reconciliation by pharmacy services.

August 26, 2015

Preparing challenging medications for barcode scanning.

July 8, 2015

A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients.

January 21, 2015

Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge.

December 17, 2014

Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."

July 30, 2014

See More About The Topic

Hospitals

Pharmacists

Facility and Group Administrators

Hospital Pharmacy

Medication Errors/Preventable Adverse Drug Events

Medication errors in a pharmacy-based bar-code-repackaging center.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Medication errors in a pharmacy-based bar-code-repackaging center.

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site