Abstract
In recent years, the GS1 data bar has been displayed on all ethical drugs to prevent medical accidents caused by dispensing errors. However, performing drug collation for oral drugs remains a challenge because the GS1 data bar is sometimes defective during the dispensing process. Our results showed that only 14.7％ of the drugs adopted by Kyushu University Hospital displayed a single GS1 data bar per tablet or slit, and measures were not taken to prevent GS1 data bar defects for most of the drugs. In addition, incidences of prescriptions containing less than one sheet of the press through package for counting dispensing, grinding, and one-dose package by hand were 54.5％, 71.6％, and 54.4％, respectively, suggesting that lack of the GS1 data bar occurred frequently in clinical settings. To promote the utilization of the GS1 data bar for oral drugs, pharmaceutical companies should address the GS1 data bar deficiency challenge and improve its design.
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