ArticleEuropean journal of hospital pharmacy : science and practice2021
Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.
Article in European journal of hospital pharmacy : science and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Evaluating the Severity of Reported Potassium-Related Errors and Developing Safeguards to Improve Potassium Safety in Critical Care-a Modified Expert Panel Study.Journal of patient safety · 2026Article
- Beyond Traditional Inventory Matrices: A Multidimensional Inventory and Safety Model for an Outpatient Pharmacy.Cureus · 2026Article
- Developing a medication safety self-assessment tool for high-alert medications in community pharmacies.Exploratory research in clinical and social pharmacy · 2025Article
- Implementing six sigma management to shorten the time of taking medicine from intelligent medicine cabinet in inpatient ward.Exploratory research in clinical and social pharmacy · 2025Article
- Analysis of the efficiency and effectiveness of technology transformation through the introduction of ADC in the Emergency Department: a Taiwanese case study.BMC health services research · 2025Article
- Comparing nursing medication rounds before and after implementation of automated dispensing cabinets: A time and motion study.Exploratory research in clinical and social pharmacy · 2024Article
- Polymyoclonus, ventricular fibrillation and Takotsubo after accidental spinal injection of tranexamic acid.BMJ case reports · 2023Article
- Article
- Reminding staff of diligence during the medication process is not enough to ensure safety: Learning from wrong fluid product selection incidents in the care of critically ill patients.Exploratory research in clinical and social pharmacy · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAutomated dispensing cabinets (ADCs) are used in hospitals to improve medication safety and decrease costs. However, ADCs do not completely eliminate the risk of mistakes between look-alike, sound-alike (LASA) medicines. The aim of this study was to identify the characteristics of LASA medicines and determine the factors related to their safe storage in ADCs.
methodsThe medication selection of one hospital pharmacy's ADC located in an intensive care unit was observed. The study consisted of five parts: a determination of criteria to identify LASA medications, an analysis of an ADCs' inventory reports, assessment of the storage of identified LASA medicines, a visual observation of the medicine packages stored in the same storage compartment and qualitative analysis of the medication-use process from prescribing a medicine to removing it from an ADC.
resultsApproximately 70% (n=355/488) of the ADCs selection had a LASA risk with at least one product. Moreover, 20% (n=84/355) of the LASA medicines identified were high-alert medications. Approximately 16% (n=58/355) of the identified LASA medicines were stored unsafely close to at least one other LASA medicine. Less than 4% (n=13/355) of the LASA medicines were unsafely stored high-alert medications.
conclusionsADCs reduce the risks of LASA medication errors when used correctly, but automation can also increase them, for example, when placing multiple LASA medicines in the same storage compartment. Attention should be paid to the identification and safe storage of LASA medicines to promote safe use of ADCs in hospitals.
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