Evidence map›Paper›PMID 19306071›Full record

ArticlePharmacy world & science : PWS2009

Medication dispensing errors in a French military hospital pharmacy.

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

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Pharmacy world & science : PWS, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 16 citations in OpenAlex.

  1. The Impact of Hospital Pharmacy Operation on the Quality of Patient Care.International journal of environmental research and public health · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Xavier BohandH I A PERCY, Service Pharmacie Hospitaliere, 101 Avenue Henri Barbusse, 92141, Clamart Cedex, France. xavier.bohand@hotmail.fr.
Olivier AupéeH I A PERCY, Service Pharmacie Hospitaliere, 101 Avenue Henri Barbusse, 92141, Clamart Cedex, France.
Patrick Le GarlantezecH I A PERCY, Service Pharmacie Hospitaliere, 101 Avenue Henri Barbusse, 92141, Clamart Cedex, France.
Hélène MullotH I A PERCY, Service Pharmacie Hospitaliere, 101 Avenue Henri Barbusse, 92141, Clamart Cedex, France.
Leslie LefeuvreH I A PERCY, Service Pharmacie Hospitaliere, 101 Avenue Henri Barbusse, 92141, Clamart Cedex, France.
Laurent SimonH I A PERCY, Service Pharmacie Hospitaliere, 101 Avenue Henri Barbusse, 92141, Clamart Cedex, France.
Hôpital d'instruction des Armées Percy · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the rate and the primary types of medication dispensing errors detected by pharmacists during implementation of a unit dose drug dispensing system.

settingThe central pharmacy at the Percy French military hospital (France).

methodThe check of the unit dose medication cassettes was performed by pharmacists to identify dispensing errors before delivering to the care units. From April 2006 to December 2006, detected errors were corrected and recorded into seven categories: unauthorized drug, wrong dosage-form, improper dose, omission, wrong time, deteriorated drug, and wrong patient errors.

main outcome measureDispensing error rate, calculated by dividing the total of detected errors by the total of filled and omitted doses; classification of recorded dispensing errors.

resultsDuring the study, 9,719 unit dose medication cassettes were filled by pharmacy technicians. Pharmacists detected 706 errors for a total of 88,609 filled and omitted unit doses. An overall error rate of 0.80% was found. There were approximately 0.07 detected dispensing errors per medication cassette. The most common error types were improper dose errors (n = 265, 37.5%) and omission errors (n = 186, 26.3%). Many causes may probably explain the occurrence of dispensing errors, including communication failures, problems related to drug labeling or packaging, distractions, interruptions, heavy workload, and difficulties in reading handwriting prescriptions.

conclusionThe results showed that a wide range of errors occurred during the dispensing process. A check performed after the initial medication selection is also necessary to detect and correct dispensing errors. In order to decrease the occurrence of dispensing errors, some practical measures have been implemented in the central pharmacy. But because some dispensing errors may remain undetected, there is a requirement to develop other strategies that reduce or eliminate these errors. The pharmacy staff is widely involved in this duty.

Indexed as

Medication Systems, HospitalFranceHospitals, MilitaryHumansMedication ErrorsPharmacistsPharmacy Service, Hospital

Identifiers

PMID19306071
OpenAlexW2142127156

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.