Dispensing-label errors in hospital: types and potential causes.
Int J Pharm Pract
; 18(2): 122-4, 2010 Apr.
Article
en En
| MEDLINE
| ID: mdl-20441122
ABSTRACT
OBJECTIVE:
The aim was to evaluate the potential causes of dispensing-label errors at a hospital.METHODS:
The study took place at a 1200-bed NHS Foundation Trust with two main pharmacy dispensaries (one manual and one automated). Face-to-face interviews were conducted with staff involved in label-generation errors to obtain in-depth understanding of dispensing-label errors. Interviews were tape-recorded, transcribed and analysed with the aid of Nvivo into themes. KEYFINDINGS:
Factors suggested as causing label-generation errors were illegible handwriting, lack of knowledge, hurrying through tasks, distractions, interruptions and the use of past medical records in generating labels. Self-checking every stage of the labelling process was suggested as the key to detecting and preventing errors.CONCLUSIONS:
The study highlights the vulnerability of the label-generation process to errors, with potential causes linked to organisational, environmental, task, team and individual factors.
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Bases de datos:
MEDLINE
Asunto principal:
Farmacéuticos
/
Etiquetado de Medicamentos
/
Errores de Medicación
Tipo de estudio:
Etiology_studies
/
Qualitative_research
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Pharm Pract
Asunto de la revista:
FARMACIA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Reino Unido