Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study

Journal of Evaluation in Clinical Practice
Laura FanningElizabeth Manias

Abstract

The implementation of automated dispensing cabinets (ADCs) in healthcare facilities appears to be increasing, in particular within Australian hospital emergency departments (EDs). While the investment in ADCs is on the increase, no studies have specifically investigated the impacts of ADCs on medication selection and preparation error rates in EDs. Our aim was to assess the impact of ADCs on medication selection and preparation error rates in an ED of a tertiary teaching hospital. Pre intervention and post intervention study involving direct observations of nurses completing medication selection and preparation activities before and after the implementation of ADCs in the original and new emergency departments within a 377-bed tertiary teaching hospital in Australia. Medication selection and preparation error rates were calculated and compared between these two periods. Secondary end points included the impact on medication error type and severity. A total of 2087 medication selection and preparations were observed among 808 patients pre and post intervention. Implementation of ADCs in the new ED resulted in a 64.7% (1.96% versus 0.69%, respectively, P = 0.017) reduction in medication selection and preparation errors. All medic...Continue Reading

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Citations

Jul 27, 2017·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Jonathan LabuhnBenjamin Turner
Oct 31, 2017·Journal of Healthcare Engineering·Chi-Ying Lin, Ping-Jung Hsieh
Nov 10, 2017·Applied Health Economics and Health Policy·Bettina Wulff RisørJan Sørensen
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Aug 25, 2021·European Journal of Hospital Pharmacy. Science and Practice·Margaux JumeauPascal Bonnabry

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