조제과오 예방교육이 병원약국의 조제과오 발생율에 미치는 영향
The Effect of Dispensing Error Prevention Program on the Incidence of Dispensing Error in Hospital Pharmacy
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
The goal of this research was to find out the effect of dispensing error prevention program on the incidence of the error in a university hospital pharmacy in Daegu. Dispensing error in this research was defined as the error identified during double-checking process, so it does not mean that the wrong dispensing was administered to patient. Drug name error was the most frequently found error, accounting for about one third of all dispensing errors, and was followed by counting error, strength error, dosage form error, and others. Similar drug name was identified as the most frequent reason for the error, taking up about two thirds of all drug name errors. In this research, six months of dispensing error prevention program resulted in statistically significant reduction of dispensing error by 42 percent. Therefore, it is recommended that hospital pharmacy implement such prevention program regularly to reduce the incidence of the error. Finally, it appears that drug approval authority should closely check the similar drug names and have power to command pharmaceutical company to change the name if pertinent.
Abstract
The goal of this research was to find out the effect of dispensing error prevention program on the incidence of the error in a university hospital pharmacy in Daegu. Dispensing error in this research was defined as the error identified during double-checking process, so it does not mean that the wrong dispensing was administered to patient. Drug name error was the most frequently found error, accounting for about one third of all dispensing errors, and was followed by counting error, strength error, dosage form error, and others. Similar drug name was identified as the most frequent reason for the error, taking up about two thirds of all drug name errors. In this research, six months of dispensing error prevention program resulted in statistically significant reduction of dispensing error by 42 percent. Therefore, it is recommended that hospital pharmacy implement such prevention program regularly to reduce the incidence of the error. Finally, it appears that drug approval authority should closely check the similar drug names and have power to command pharmaceutical company to change the name if pertinent.
참고문헌 (16)
- The Institute of Medicine, "To Err is Human: Building a Safer Health System" (1999), National Academy Press
- "http:", Object.File, pp.Master, 4[DOI]
- Institute of Medicine, "Institute of Medicine report: Preventing medication error" (2006), National Academies Press
- [URL]
- Leape LL, "Systems analysis of adverse drug events. ADE Prevention Study Group", JAMA, 274, pp.35~43 (1995)
- Stucky ER, "American Academy of Pediatrics Committee on Drugs, American Academy of Pediatrics Committee on Hospital Care. Prevention of medication errors in the pediatric inpatient setting", Pediatrics, 112, pp.431~436 (2003)
- Bates DW, "Effect of computerized physician order entry and a team intervention on prevention of serious medication errors", JAMA, 280, pp.1311~1316 (1998)
- Bates DW, "The impact of computerized physician order entry on medication error prevention", J Am Med Inform Assoc, 6, pp.313~321 (1999)
- Teich JM, "Effects of computerized physician order entry on prescribing practices", Arch Intern Med, 160, pp.2741~2747 (2000)
- Potts A, "Computerized physician order entry and midcation errors in a pediatric critical care unit", Pediatrics, 113, pp.59~63 (2004)
- Pierson S, "Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system", Qual Saf Health Care, 16, pp.297~302 (2007)
- Karnon J, "A prospective hazard and improvement analytic approach to predict the effectiveness of medication error interventions", Safety Science, 45, pp.523~539 (2007)
- Kang R, "Types and factors of dispensing errors in pediatric prescriptions", J Kor Soc Health-System Pharm, 23, pp.23~29 (2006)
- Hampton T, "Similar drug names a risky prescription", JAMA, 291, pp.1948~1949 (2004)
- [URL]
- Lambert B, "Designing safe drug names", Drug Saf, 28, pp.495~512 (2005)