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Search results for "Dispensing Errors"
Journal Article > Study
Errors associated with medications removed from automated dispensing machines using override functions.
Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.
This study evaluated 470 medication overrides in demonstrating that most errors occur in settings when all medications were available for removal as opposed to when only select medications were available (eg, emergency, pre-procedure, and pain medications). Investigators from this single hospital study determined that nearly 90% of the overrides were correctly administered and that the large majority of variances were due to missing documentation for the medication overridden followed by an incorrect medication or dose administered. A past study assessed and monitored override medications in automated dispensing devices whereas a previous review discussed a similar issue of overriding drug safety alerts but in computerized physician order entry (CPOE) systems.
Journal Article > Study
From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.
Cochran GL, Klepser DG, Morien M, Lomelin D, Schainost R, Lander L. BMJ Qual Saf. 2014;23:223-230.
One major safety advantage of computerized provider order entry (CPOE) systems lies in their ability to prevent adverse drug events due to prescribing errors. In the outpatient setting, use of electronic prescriptions is growing thanks to studies demonstrating that e-prescribing reduces medication errors. However, as with CPOE in general, increasing use of e-prescribing is leading to greater recognition of new types of errors associated with this new technology. This study analyzed the frequency of unintended discrepancies in e-prescriptions from three primary care clinics by comparing the prescription information in the prescribing physician's note with the order entered into the e-prescribing system and the medication ultimately dispensed by the pharmacy. The investigators found that errors occurred at each stage of the process, with a small but significant rate of discrepancies between both physician notes and e-prescriptions and between e-prescriptions and the medication dispensed. These errors often occurred when providers entered free-text instructions into the e-prescribing system, as found in prior research. The potential safety benefits and hazards of e-prescribing are discussed in detail in an AHRQ WebM&M commentary.
Journal Article > Commentary
Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.
The author discusses how technology can help minimize medication errors and suggests that both the shortcomings and strengths of technology be considered when shaping medication error reduction programs.
Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.
This report outlines the prescription process and the potential improvements in cost, efficiency, compliance, and safety that could be gained through implementation of e-prescribing.