Evidence map›Paper›PMID 36241376›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2024

Impact of implementing the aseptic compounding management system, Medcura, on internal error rates within an oncology pharmacy aseptic unit: a mixed methods evaluation.

Emily Smith, Andy Fox, Graeme Willmers, Deborah Wright, Beth Stuart

Open access · hybridAbstract read
In one paragraph

Article in European journal of hospital pharmacy : science and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

5 authors at 2 institutions in 1 country.

Emily SmithPharmacy, University Hospital Southampton NHS Foundation Trust, Southampton, UK emily.smith@uhs.nhs.uk.ORCID 0000-0003-1974-4061
Andy FoxPharmacy, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Graeme WillmersPharmacy, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Deborah WrightPharmacy, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Beth StuartUniversity of Southampton Faculty of Medicine, Southampton, Southampton, UK.
University Hospital Southampton NHS Foundation Trust · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs cancer survivorship improves, pressure on oncology services to provide safe, timely treatments increases. Traditional manual compounding processes are error prone, putting patients at risk. Additionally, errors have a detrimental impact on service delivery and staff morale. Information technology is increasingly utilised to improve safety and service delivery of systemic anti-cancer therapy (SACT). The compounding process control system, Medcura, was developed to manage the end-to-end process and reduce transcription and calculation errors.

objectivesTo evaluate the impact of implementing Medcura on internal errors and staff perceptions of errors.

methodAn aseptic process control system, Medcura, was implemented in a busy pharmacy chemotherapy production unit. Internal error and severity data were collected and analysed for 14 months before and during implementation, and 24 months after implementation. In addition, one-to-one semi-structured interviews were carried out with pharmacy staff, pre- and post-implementation. Interviews were transcribed and thematically analysed.

resultsError rates decreased after implementation from 2.9% to 2.1%. The types of error detected also changed with a decrease in worksheet and labelling errors, and an increase in assembly errors. The severity of the errors, as a percentage of total errors made, also decreased after implementation. Staff were predominantly positive about Medcura; it reduced the number of errors, eased the preparation of worksheets and labels, reduced pressure and work-related stress, and improved job satisfaction.

conclusionsImplementing Medcura has resulted in a reduction in both error rate and severity. Specifically, errors related to label and worksheet generation have seen the largest reduction. Staff have viewed these changes positively and report reduced levels of work-related stress. Further development and roll-out will improve patient safety and staff morale.

Indexed as

Drug CompoundingMedication ErrorsPharmacy Service, HospitalAntineoplastic AgentsAsepsisHumansAntineoplastic AgentsDrug CompoundingMEDICAL ERRORSMEDICAL ONCOLOGYMEDICATION SYSTEMS, HOSPITALPHARMACEUTICAL PREPARATIONSPHARMACY ADMINISTRATIONQuality Assurance, Health CareSafety

Identifiers

PMID36241376
PMCPMC11042471
OpenAlexW4306181368

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.