The performance improvement of look-alike sound-alike drug pre-dispensing

Manutchanok Jongprasithporn,Nantakrit Yodpijit,Teppakorn Sittiwanchai,Wichai Sunkarat,Thanakorn Homsai

doi:10.1051/matecconf/201819201051

Abstract

Medical dispensing errors are common and classic human errors in the hospitals. Look-alike, Sound-alike (LASA) drug is one of the main issues in pre-dispensing and dispensing processes. The data in this study were observed from one middle size hospital in Thailand. In 2017, there were two months that the medication errors KPI (0.065 and 0.061) were greater than the accepted error threshold (0.06). The SBAR (Situation, Background, Assessment, and Recommendation) solution and HOSxP software were applied for three months in the pre-dispensing process to reduce the medical dispensing errors. The results showed that the medication errors KPI (0.04, 0.03, and 0.02, respectively) were reduced dramatically. Therefore, implementation of the SBAR and HOSxP software is recommended as a fast and easy solution for medical dispensing errors.

Highlights

Pre-dispensing error and dispensing error are defined as a misunderstanding of dispensed processing between prescription and pharmacist [1]
To decrease the medical error from Look-alike sound-alike (LASA) drug, the SBAR solution and HOSpital eXPerience (HOSxP) software are used in the pre-describing process
The results showed that the using of SBAR solution and HOSxP software could improve the pre-dispensing process and decreased the medical errors from LASA drug

Summary

Introduction

Pre-dispensing error and dispensing error are defined as a misunderstanding of dispensed processing between prescription and pharmacist [1]. The errors of pharmacist are incorrectly dispensing dose as specified in the prescriptions, such as medical type, dosage form, dosage, medical size, administration, number of prescriptions. The errors are included dispensing without prescriptions such as dilution/ incorrect mixture using improper container, incorrect labeling, having wrong patient name, drug name and so on [2]. Look-alike sound-alike (LASA) drug is medications that could make people confuse because of their appeal or name. LASA can cause a confusing and medication error. In look-alike, medication products have similar color and size of tablets, bottles, labels or packaging to other drugs or similar to the same drug with different strength [3]

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