Abstract
ObjectiveTo compare the rate and severity of reported dispensing errors in nursing homes using manual medication dispensation vs automated dispensation with a specifically selected Automated Dispensing System. MethodA pre-post retrospective observational study conducted in 7 nursing homes. Comparison of voluntarily reported dispensing errors in 2 periods under a manual dispensing system of weekly pill boxes (data from 2013) and an Automated drug dispensing and Packaging System Xana 4001U2 Tosho® for oral solid medications used in combination with a manual system for other drug forms (data from 2015). We analysed patient function, cognition, and pharmacological data from both periods. ResultsThe residents’ mean age (83.9 vs 83.6 years; P> .05) and physical functioning (Barthel index 41.8 vs 44.2; P> .05) were similar, but not their level of cognitive functioning (MMSE 20.3 vs 21.7; P < .05). During 2013 (manual system) 408 errors were detected, whereas in 2015 (automated system) only 36 were detected. This represents a reduction of 91% in dispensing errors. A total of 43 errors reached the patient in 2013 vs 6 errors in 2015. Of these, 5 errors vs 1 error, respectively, required monitoring. ConclusionsThe introduction of an Automated drug dispensing and Packaging System significantly improves safety in the dispensing and administration of solid medications in nursing homes. The voluntary reporting of errors facilitated comparisons of safety during the 2 periods under different dispensing systems.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.