Evidence map›Paper›PMID 29813099›Full record

ArticlePloS one2018

Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of users.

Zizi Campmans, Arianne van Rhijn, René M Dull, Jacqueline Santen-Reestman, Katja Taxis, Sander D Borgsteede

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.9field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 23 citations in OpenAlex.

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  6. Assessment and analysis of outpatient medication errors related to pediatric prescriptions.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
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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 2 institutions in 1 country.

Zizi CampmansDepartment of Clinical Decision Support, Health Base Foundation, Houten, the Netherlands.
Arianne van RhijnPortal for patient safety/Central Medication incidents Registration, Utrecht, the Netherlands.
René M DullSAL pharmacy Schuytgraaf, Arnhem, the Netherlands.
Jacqueline Santen-ReestmanPortal for patient safety/Central Medication incidents Registration, Utrecht, the Netherlands.
Katja TaxisDepartment of PharmacoTherapy, -Epidemiology & -Economics (PTEE), University of Groningen, Groningen, the Netherlands.
Sander D BorgsteedeDepartment of Clinical Decision Support, Health Base Foundation, Houten, the Netherlands.ORCID 0000-0002-8425-6139
University of Groningen · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDrug confusion is thought to be the most common type of dispensing error. Several strategies can be implemented to reduce the risk of medication errors. One of these are alerts in the pharmacy information system.

objectiveTo evaluate the experiences of pharmacists and pharmacy technicians with alerts for drug name and strength confusion.

methodsIn May 2017, a cross-sectional survey of pharmacists and pharmacy technicians was performed in community pharmacies in the Netherlands using an online questionnaire.

resultsOf the 269 respondents, 86% (n = 230) had noticed the alert for drug name confusion, and 26% (n = 67) for drug strength confusion. Of those 230, 9% (n = 20) had experienced that the alert had prevented dispensing the wrong drug. For drug strength confusion, this proportion was 12% (n = 8). Respondents preferred to have an alert for drug name and strength confusion in the pharmacy information system. 'Alert fatigue' was an important issue, so alerts should only be introduced for frequent confusions or confusions with serious consequences.

conclusionPharmacists and pharmacy technicians were positive about having alerts for drug confusions in their pharmacy information system and experienced that alerts contributed to the prevention of dispensing errors. To prevent alert fatigue, it was considered important not to include all possible confusions as a new alert: the potential contribution to the prevention of drug confusion should be weighed against the risk of alert fatigue.

Indexed as

ConfusionInformation SystemsPharmacySurveys and QuestionnairesAttitude of Health PersonnelHumansMedication ErrorsPharmacy Technicians

Identifiers

PMID29813099
PMCPMC5973570
OpenAlexW2805547507

What OpenQuestion holds

Textmetadata
LicenceCC0
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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.