Medication dispensing errors in a French military hospital pharmacy

Pharmacy World and Science

Volumn 31, Issue 4, 2009, Pages 432-438

  Bohand, Xavier ^a   Aupée, Olivier ^a   Le Garlantezec, Patrick ^a   Mullot, Hélène ^a   Lefeuvre, Leslie ^a   Simon, Laurent ^a  

^a PERCY MILITARY HOSPITAL   (France)

Author keywords

Dispensing error; France; Hospital pharmacy; Medication error; Military hospital; Unit dose dispensing

Indexed keywords

ALFUZOSIN; COLCHICINE; COLISTIN; FUROSEMIDE; LEVOTHYROXINE; MOLSIDOMINE; PARACETAMOL; PERINDOPRIL; VERAPAMIL;

ARTICLE; DRUG DOSAGE FORM; DRUG LABELING; DRUG PACKAGING; FRANCE; HOSPITAL PHARMACY; MEDICAL PRACTICE; MEDICATION ERROR; OUTCOME ASSESSMENT; PRESCRIPTION; PUBLIC HOSPITAL; WORKLOAD;

FRANCE; HOSPITALS, MILITARY; HUMANS; MEDICATION ERRORS; MEDICATION SYSTEMS, HOSPITAL; PHARMACISTS; PHARMACY SERVICE, HOSPITAL;

EID: 67651113914     PISSN: 09281231     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11096-009-9290-3     Document Type: Article

References (38)

1. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine, National Academy Press; 2000.
2. DP Phillips N Christenfeld LM Glynn 1998 Increase in US medication-error deaths between 1983 and 1993 Lancet 351 643 644 10.1016/S0140-6736(98)24009-8
3. RE Ferner JK Aronson 2000 Medication errors, worse than a crime Lancet 355 947 948 10.1016/S0140-6736(00)99025-1 (Pubitemid 30148257)
4. DM Scala-Barnett ER Donoghue 1986 Dispensing error causing fatal chlorpropamide intoxication in a nondiabetic J Forensic Sci 31 293 295 (Pubitemid 16181743)
5. J Henderson WD Anderson A Jawad 2003 Potassium permanganate burn due to a dispensing error Burns 29 401 402 10.1016/S0305-4179(02)00279-6
6. B Carriere B Bailey G Chabot D Lebel 2003 Dispensing error leading to alendronate ingestion Ann Pharmacother 37 87 89 10.1345/aph.1C217 (Pubitemid 36068606)
7. E Mein F Sii P Shah 2006 An ocular medication dispensing error Br J Clin Pharmacol 62 715 716 10.1111/j.1365-2125.2006.02646.x
8. PF Parker 1968 Drug distribution in hospitals. Unit-dose systems reduce error, increase efficiency Hospitals 42 65 72
9. WE [tmp] McConnell KN Barker LF Garrity 1961 Dispensing: report of a study Am J Hosp Pharm 18 531 541
10. PW Lepinski TS Thielke DM Collins A Hanson 1986 Cost comparison of unit dose and traditional drug distribution in a long-term-care facility Am J Hosp Pharm 43 2771 2779 (Pubitemid 17178490)
11. JE Fontan V Maneglier VX Nguyen C Loirat F Brion 2003 Medication errors in hospitals: computerized unit dose drug dispensing system versus ward stock distribution system Pharm World Sci 25 112 117 10.1023/A:1024053514359
12. L Arnaud D Coyral C Dufauret B Fernandez P Vergne-Salle C Bonnet 2005 A propos d'une expérience d'organisation de dispensation journalière individuelle nominative (DJIN) Actualités pharmaceutiques hospitalières 1 37 44
13. TH Hassal CE Daniels 1983 Evaluation of three types of control chart methods in unit dose error monitoring Am J Hosp Pharm 40 970 975
14. J Taylor M Gaucher 1986 Medication selection errors made by pharmacy technicians in filling unit dose orders Can J Hosp Pharm 39 9 12 (Pubitemid 16130391)
15. EG Klein JA Santora PM Pascale JG Kitrenos 1994 Medication cart-filling time accuracy, and cost with an automated dispensing system Am J Hosp Pharm 51 1193 1196 (Pubitemid 24144932)
16. JL Cina TK Gandhi W Churchill J Fanikos M [tmp] McCrea P Mitton 2006 How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf 32 73 80
17. American society of hospital pharmacists 1993 ASHP guidelines on preventing medication errors in hospitals Am J Hosp Pharm 50 305 314
18. A Beso BD Franklin N Barber 2005 The frequency and potential causes of dispensing errors in a hospital pharmacy Pharm World Sci 27 182 190 10.1007/s11096-004-2270-8
19. TA Anacleto E Perini MB Rosa CC Cesar 2007 Drug-dispensing errors in the hospital pharmacy Clinics 62 243 250 10.1590/S1807-59322007000300007
20. P Rolland 2004 Occurrence of dispensing errors and efforts to reduce medication errors at the Central Arkansas Veteran's Healthcare System Drug Saf 27 271 282 10.2165/00002018-200427040-00004
21. TA Anacleto E Perini MB Rosa CC Cesar 2005 Medication errors and drug-dispensing systems in a hospital pharmacy Clinics 60 325 332 10.1590/S1807-59322005000400011
22. National Coordinating Council for Medication Error Reporting and Prevention. Recommendations to enhance accuracy of dispensing medications. 1999, 2005. Available from http://www.nccmerp.org/council/council1999-03-19.html.
23. LL Leape DW Bates DJ Cullen J Cooper HJ Demonaco T Gallivan 1995 Systems analysis of adverse drug events JAMA 274 35 43 10.1001/jama.274.1.35
24. MD Becker MH Johnson RL Longe 1978 Errors remaining in unit dose carts after checking by pharmacists versus pharmacy technicians Am J Hosp Pharm 35 432 434
25. TW Woller J Stuart R Vrabel B Senst 1991 Checking of unit dose cassettes by pharmacy technicians at three Minnesota hospitals Am J Hosp Pharm 48 1952 1956
26. JE Ness SD Sullivan A Stergachis 1994 Accuracy of technicians and pharmacists in identifying dispensing errors Am J Hosp Pharm 51 354 357 (Pubitemid 24046372)
27. SH Spooner PK Emerson 1994 Using hospital pharmacy technicians to check unit dose carts Hosp Pharm 29 433 437
28. PJ Ambrose FG Saya LT Lovett S Tan DW Adams R Shane 2002 Evaluating the accuracy of technicians and pharmacists in checking unit dose medication cassettes Am J Health Syst Pharm 59 1183 1188 (Pubitemid 34633684)
29. KK Scarsi MA Fotis GA Noskin 2002 Pharmacist participation in medical rounds reduces medication errors Am J Health Syst Pharm 59 2089 2092 (Pubitemid 35257731)
30. KA Weant AM Cook JA Armitstead 2007 Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry Am J Health Syst Pharm 64 526 530 10.2146/ajhp060001
31. A Bobb K Gleason M Husch J Fienglass PR Yarnold GA Noskin 2004 The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry Arch Intern Med 164 785 792 10.1001/archinte.164.7.785
32. A Mirco L Campos F Falcao JS Nunes A Aleixo 2005 Medication errors in an internal medicine department. Evaluation of a computerized prescription system Pharm World Sci 27 351 352 10.1007/s11096-005-2452-z
33. DG Van Gijssel-Wiersma PM Van den Bemt MC Walenbergh-Van Veen 2005 Influence of computerised medication charts on medication errors in hospital Drug Saf 28 1119 1129 10.2165/00002018-200528120-00006
34. K Kratz C Thygesen 1992 A comparison of the accuracy of unit dose cart fill with the Baxter ATC-212 computerized system and manual filling Hosp Pharm 27 19 20
35. O Scott R Caldwell 2007 Dispensing error rate after implementation of an automated pharmacy carousel system Am J Health Syst Pharm 64 1427 1431 10.2146/ajhp060636
36. EG Poon JL Cina W Churchill N Patel E Featherstone JM Rothschild 2006 Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy Ann Intern Med 145 426 434 (Pubitemid 46768573)
37. EA Flynn KN Barker GA Pepper DW Bates RL Mikeal 2002 Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities Am J Health Syst Pharm 59 436 446 (Pubitemid 34208608)
38. NJ Facchinetti GM Campbell DP Jones 1999 Evaluating dispensing error detection rate in a hospital pharmacy Med Care 37 39 43 10.1097/00005650- 199901000-00007