Evidence map›Paper›PMID 36045385›Full record

ArticleJournal of pharmaceutical health care and sciences2022

Analysis of the thinking process of pharmacists in response to changes in the dispensing environment using the eye-tracking method.

Toshikazu Tsuji, Kenichiro Nagata, Keiichi Sasaki, Ryosuke Matsukane, Shigeru Ishida, Takehiro Kawashiri, Kimitaka Suetsugu, Hiroyuki Watanabe, Takeshi Hirota, Ichiro Ieiri

Abstract read
In one paragraph

Article in Journal of pharmaceutical health care and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Toshikazu TsujiDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan. tsuji.toshikazu.123@m.kyushu-u.ac.jp.
Kenichiro NagataDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.
Keiichi SasakiDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.
Ryosuke MatsukaneDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.
Shigeru IshidaDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.
Takehiro KawashiriClinical Pharmacy Education Center, Faculty of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.
Kimitaka SuetsuguDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.
Hiroyuki WatanabeDepartment of Pharmacy, Fukuoka Tokushukai Hospital, Fukuoka, Japan.
Takeshi HirotaDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.
Ichiro IeiriDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.

Funding

Japan Society for the Promotion of Science JP17K08447
6 · The paper itself

Abstract

backgroundPharmacists must understand the mechanisms by which dispensing errors occur and take appropriate preventive measures. In this study, the gaze movements of pharmacists were analyzed using an eye-tracking method, to elucidate the thinking process of pharmacists when identifying target drugs and avoiding dispensing errors.

methodsWe prepared verification slides and projected them on a large screen. Each slide comprised a drug rack area and a prescription area; the former consisted of a grid-like layout with 55 drugs and the latter displayed dispensing information (drug name, drug usage, location number, and total amount). Twelve pharmacists participated in the study, and three single-type drugs and six double-type drugs were used as target drugs. We analyzed the pharmacists' method of identifying the target drugs, the mechanisms by which errors occurred, and the usefulness of drug photographs using the error-induction (-) /photo (+), error-induction (+) / (+), and error-induction (+) /photo (-) models.

resultsVisual invasion by non-target drugs was found to have an effect on the subsequent occurrence of dispensing errors. In addition, when using error-induction models, the rate of dispensing error was 2.8 and 11.1% for the photo (+) and photo (-) models, respectively. Furthermore, based on the analysis of eight pharmacists who dispensed drugs without errors, it was clear that additional confirmation of "drug name" was required to accurately identify the target drug in the photo (+) model; additionally, that of "location number" was required to pinpoint directly the position of target drug in the photo (-) model.

conclusionsBy analyzing the gaze movements of pharmacists using the eye-tracking method, we clarified pharmacists' thinking process which was required to avoid dispensing errors in a complicated environment and proved the usefulness of drug photographs in terms of both reducing the complexity of the dispensing process and the risk of dispensing errors. Effective measures to prevent dispensing errors include ensuring non-adjacent placement of double-type drugs and utilization of their image information.

Indexed as

Complicated dispensing environmentDispensing errorsError-induction modelEye-tracking methodThinking process

Identifiers

PMID36045385
PMCPMC9434836

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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.