The effect of proximity, tall man lettering, and time pressure on accurate visual perception of drug names

Human Factors

Volumn 55, Issue 2, 2013, Pages 253-266

  Irwin, Amy ^a   Mearns, Kathryn ^a   Watson, Margaret ^a   Urquhart, Jim ^a  

^a UNIVERSITY OF ABERDEEN   (United Kingdom)

Author keywords

drug name similarity; pharmacy; proximity; Tall Man; time pressure

Indexed keywords

DRUG NAME SIMILARITY; PHARMACY; PROXIMITY; TALL MAN; TIME PRESSURES;

VISION;

PRESSURE EFFECTS;

ADOLESCENT; ADULT; ARTICLE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG LABELING; DRUG PACKAGING; DRUG STORAGE; FEMALE; HUMAN; MALE; MEDICATION ERROR; MIDDLE AGED; RANDOMIZED CONTROLLED TRIAL; REACTION TIME; VISION;

ADOLESCENT; ADULT; DRUG LABELING; DRUG PACKAGING; DRUG STORAGE; FEMALE; HUMANS; MALE; MEDICATION ERRORS; MIDDLE AGED; REACTION TIME; VISUAL PERCEPTION; YOUNG ADULT;

MLCS; MLOWN;

EID: 84875713438     PISSN: 00187208     EISSN: 15478181     Source Type: Journal    
DOI: 10.1177/0018720812457565     Document Type: Article

References (52)

1. Akici A., Kalaca S., Umit Ugurlu M., Toklu H. Z., Iskender E., Oktay S.. Patient knowledge about drugs prescribed at primary care facilities. Pharmacoepidemiology and Drug Safety. 2004 ; 13: 871-876
2. Anto B., Barlow D., Oborne A. C., Whittlesea C.. Incorrect drug selection at the point of dispensing: A study of potential predisposing factors. International Journal of Pharmacy Practice. 2011 ; 19: 51-60
3. Aronson J. K.. Medication errors: Definitions and classification. British Journal of Clinical Pharmacology. 2009 ; 67: 599-604
4. Ashcroft D. M., Quinlan P., Blenkinsopp A.. Prospective study of the incidence, nature and causes of dispensing errors in community pharmacies. Pharmacoepidemiology and Drug Safety. 2005 ; 14: 327-332
5. Besner D., McCann R. S. Attention and performance XII. Coltheart M., ed. Hove, UK: Lawrence Erlbaum ; 1987: 201-219.
6. Brass E. P., Weintrub M.. Label development and label comprehension study for over-the-counter drugs. Clinical Pharmacology and Therapeutics. 2003 ; 74: 406-412
7. Buchanan T. L., Barker K. N., Gibson J. T., Jiang B. C., Pearson R. E.. Illumination and errors in dispensing. American Journal of Hospital Pharmacy. 1991 ; 48: 2137-2145
8. Cella M., Dymond S., Cooper A., Turnbull O.. Effects of decision-phase time constraints on emotion based learning in the Iowa Gambling Task. Brain and Cognition. 2007 ; 64: 164-169
9. Cohen J. Statistical power analysis for the behavioral sciences. 1988 ). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum. Hillsdale, NJ: Lawrence Erlbaum ; 1988 :
10. Cooper L., Barron M., Gallagher C., Sciarra J.. Automated anaesthesia medication dispensing systems: Single-issue, limited-access drawers may reduce medication errors. European Journal of Anaesthesiology. 2007 ; 24: 190-191
11. Darker I. T., Gerret D., Filik R., Purdy K. J., Gale A. G.. The influence of "Tall Man" lettering on errors of visual perception in the recognition of written drug names. Ergonomics. 2011 ; 54: 21-33
12. Davis N. M.. Drug names that look and sound alike. Hospital Pharmacy. 1997 ; 32: 1558-1570
13. DeDonno M. A., Demaree H. A.. Perceived time pressure and the Iowa Gambling Task. Judgement and Decision-Making. 2008 ; 3: 636-640
14. Duncan J., Humphreys G. W.. Visual search and stimulus similarity. Psychological Review. 1989 ; 96: 433-458
15. Emmerton L. M., Rizk M. F. S.. Look-alike and sound-alike medicines: Risks and solutions. International Journal of Clinical Pharmacy. 2012 ; 34: 4-8
16. Farmer E. W., Taylor R. M.. Visual search through colour displays: Effects of target-background similarity and background uniformity. Attention, Perception and Psychophysics. 1980 ; 27: 267-272
17. Federal Drug Administration. (2001). Name differentiation project. Retrieved from http://www.fda.gov/Drugs/DrugSafety/MedicationErrors/ucm164587. htm
18. Filik R., Purdy K., Gale A., Gerrett D.. Drug name confusion: Evaluating the effectiveness of capital ("Tall Man") letters using eye movement data. Social Science and Medicine. 2004 ; 59: 2597-2601
19. Filik R., Purdy K., Gale A., Gerrett D.. Labeling of medicines and patient safety: Evaluating methods of reducing drug name confusion. Human Factors. 2006 ; 48: 39-47
20. Flynn E. A., Barker K. N., Gibson J. T., Pearson R. E., Smith L. A., Berger B. A.. Relationships between ambient sounds and the accuracy of pharmacists prescription-filling performance. Human Factors. 1996 ; 38: 614-622
21. Flynn E. A., Barker K. N., Gibson J. T., Pearson R. E., Berger B. A., Smith L. A.. Impact of interruptions and distractions on dispensing errors in an ambulatory care pharmacy. American Journal of Health-System Pharmacy. 1999 ; 56: 1319-1325
22. Franklin B. D., O'Grady K., Voncina L., Popoola J., Jacklin A.. An evaluation of two automated dispensing machines in UK hospital pharmacy. International Journal of Pharmacy Practice. 2008 ; 16: 47-53
23. Gabriele S.. The role of typography in differentiating look-alike/sound-alike drug names. Healthcare Quarterly. 2006 ; 9: 88-95
24. Hart S. G., Staveland L. E. Human mental workload. Hancock P. A. Meshkati N., ed. Amsterdam, Netherlands: North Holland Press ; 1988: 139-184.
25. Hellier E., Edworthy J., Derbyshire N., Costello A.. Considering the impact of medicine label design on patient safety. Ergonomics. 2006 ; 49: 617-630
26. Hellier E., Tucker M., Kenny N., Rowntree A., Edworthy J.. Merits of using colour and shape differentiation to improve the speed and accuracy of drug strength identification on over-the-counter medications by laypeople. Journal of Patient Safety. 2010 ; 6: 158-164
27. Jensen A. R. Clocking the mind: Mental chronometry and individual differences. Amsterdam, Netherlands: Elsevier ; 2006 :
28. Kalvaitis K.. FDA warns of confusion in prescribing two dissimilar drugs. Psychiatric Annals. 2011 ; 41: 345
29. Kataoka J., Sasaki M., Kanda K.. Effects of mental workload on nurses' visual behaviors during infusion pump operating. Japan Journal of Nursing Science. 2011 ; 8: 47-56
30. Kenagy J. W., Stein G. C.. Naming, labeling and packaging of pharmaceuticals. American Journal of Health System Pharmacy. 2001 ; 58: 3033-3041
31. Lambert B. L., Chang K. Y., Gupta P.. Effects of frequency and similarity neighborhoods on pharmacists' visual perception of drug names. Social Science and Medicine. 2003 ; 57: 1939-1955
32. Lambert B. L., Chang K. Y., Lin S. J.. Effect of orthographic and phonological similarity on false recognition of drug names. Social Science and Medicine. 2001 ; 52: 1843-1857
33. Maunsell J. H. R., Treue S.. Feature-based attention in the visual cortex. TRENDS in Neuroscience. 2006 ; 29: 317-322
34. Mayall K.. Case-mixing effects on children's word recognition: Lexical feedback and development. Quarterly Journal of Experimental Psychology. 2002 ; 55A: 525-542
35. Mayall K., Humphreys G. W.. Case-mixing and the task-sensitive disruption of lexical processing. Journal of Experimental Psychology: Learning, Memory and Cognition. 1996 ; 22: 278-294
36. McClelland J. L., Rumelhart D. E.. An interactive activation model of context effects in letter perception: Part I. An account of basic findings. Journal of Experimental Psychology: General. 1981 ; 114: 159-188
37. Najemnik J., Geisler W. S.. Optimal eye movement strategies in visual search. Nature. 2005 ; 434: 387-391
38. Similar names. Hertfordshire, UK: Author ; 2006 :
39. Orser B. A., Chen R. J. B., Yee D. A.. Medication errors in anaesthetic practice: A survey of 687 practitioners. Canadian Journal of Anaesthesia. 2001 ; 48: 139-146
40. Peterson G. M., Wu M. S. H., Bergin J. K.. Pharmacists' attitudes towards dispensing errors: Their causes and prevention. Journal of Clinical Pharmacy and Therapeutics. 1999 ; 24: 57-71
41. Pontibriand R. J. D., Allender L. E., Doyle F. J. Performance under stress. Hancock P. A. Szalma J. L., ed. Hampshire, UK: Ashgate ; 2008: 143-163.
42. Poon E. G., Cina J. L., Churchill W., Patel N., Featherstone E., Rothschild J. M., Keohane C. A., Whittemore A. D., Bates D. W., Gandhi T. K.. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in pharmacy. Annals of Internal Medicine. 2006 ; 145: 426-434
43. Rastegary H., Landy J. F. Time pressure and stress in human judgment and decision making. Svenson O. Maule J. A., ed. New York: Plenum ; 1993: 217-239.
44. Reason J. T. Clinical risk management: Enhancing patient safety. Vincent C., ed. London, UK: BMJ ; 2001: 9-30.
45. Reilly S., Grasha A. F., Schafer J.. Workload, error detection and experienced stress in a simulated pharmacy verification task. Perceptual and Motor Skills. 2002 ; 95: 27-46
46. Schell K. L.. Using enhanced text to facilitate recognition of drug names: Evidence from two experimental studies. Applied Ergonomics. 2009 ; 40: 82-90
47. Schell K. L., Grasha A. F.. State anxiety, performance accuracy and work pace in a simulated pharmacy dispensing task. Perceptual and Motor Skills. 2000 ; 90: 547-561
48. Slobounov S. M., Fukada K., Simon R., Rearick M., Ray W.. Neurophysiological and behavioral indices of time pressure effects on visuomotor task performance. Cognitive Brain Research. 2000 ; 9: 287-298
49. Treisman A.. Perceptual grouping and attention in visual search for features and for objects. Journal of Experimental Psychology: Human Perception and Performance. 1982 ; 8: 194-214
50. Varadarajan R., Barker K. N., Flynn E. A., Thomas R. E.. Comparison of two error detection methods in a mail service pharmacy serving health facilities. Journal of the American Pharmacists Association. 2008 ; 48: 371-378
51. Vincent C.. Understanding and responding to adverse events. New England Journal of Medicine. 2003 ; 348: 1051-1056
52. Wolfe J. M.. Guided search 2.0: A revised model of visual search. Psychonomic Bulletin and Review. 1994 ; 1: 202-238