ArticlePloS one2014
Medication incidents related to automated dose dispensing in community pharmacies and hospitals--a reporting system study.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Medication errors in community pharmacies: a systematic review of the international literature.PloS one · 2025Pooled it
- Approaches to outpatient pharmacy automation: a systematic review.European journal of hospital pharmacy : science and practice · 2019Pooled it
- Medication management during transitions from hospital to home: a focus group study with hospital and primary healthcare providers in the Netherlands.International journal of clinical pharmacy · 2021Article
- Opportunities for changes in the drug product design to enhance medication safety in older people: Evaluation of a national public portal for medication incidents.British journal of clinical pharmacology · 2020Article
- One-Stop Dispensing: Hospital Costs and Patient Perspectives on Self-Management of Medication.Pharmacy (Basel, Switzerland) · 2018Article
- Multidose Drug Dispensing in Community Healthcare Settings for Patients With Multimorbidity and Polypharmacy.Inquiry : a journal of medical care organization, provision and financingReview
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAutomated dose dispensing (ADD) is being introduced in several countries and the use of this technology is expected to increase as a growing number of elderly people need to manage their medication at home. ADD aims to improve medication safety and treatment adherence, but it may introduce new safety issues. This descriptive study provides insight into the nature and consequences of medication incidents related to ADD, as reported by healthcare professionals in community pharmacies and hospitals.
methodsThe medication incidents that were submitted to the Dutch Central Medication incidents Registration (CMR) reporting system were selected and characterized independently by two researchers.
main outcome measuresPerson discovering the incident, phase of the medication process in which the incident occurred, immediate cause of the incident, nature of incident from the healthcare provider's perspective, nature of incident from the patient's perspective, and consequent harm to the patient caused by the incident.
resultsFrom January 2012 to February 2013 the CMR received 15,113 incidents: 3,685 (24.4%) incidents from community pharmacies and 11,428 (75.6%) incidents from hospitals. Eventually 1 of 50 reported incidents (268/15,113 = 1.8%) were related to ADD; in community pharmacies more incidents (227/3,685 = 6.2%) were related to ADD than in hospitals (41/11,428 = 0.4%). The immediate cause of an incident was often a change in the patient's medicine regimen or relocation. Most reported incidents occurred in two phases: entering the prescription into the pharmacy information system and filling the ADD bag.
conclusionA proportion of incidents was related to ADD and is reported regularly, especially by community pharmacies. In two phases, entering the prescription into the pharmacy information system and filling the ADD bag, most incidents occurred. A change in the patient's medicine regimen or relocation was the immediate causes of an incident.
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