Prospective study of the incidence, nature and causes of dispensing errors in community pharmacies

Pharmacoepidemiology and Drug Safety
Darren M AshcroftAlison Blenkinsopp

Abstract

Each year over 600 million prescription items are dispensed in community pharmacies in England and Wales. Despite this, there is little published evidence relating to dispensing errors and near misses occurring in this setting. This study sought to determine their incidence, nature and causes. Prospective study over a 4-week period in 35 community pharmacies (9 independent pharmacies and 26 chain pharmacies) in the UK. Pharmacists recorded details of all incidents that occurred during the dispensing process, including information about: the stage at which the error was detected; who found the error; who made the error; type of error; reported cause of error and circumstances associated with the error. 125,395 prescribed items were dispensed during the study period and 330 incidents were recorded relating to 310 prescriptions. 280 (84.8%) incidents were classified as a near miss (rate per 10,000 items dispensed=22.33, 95%CI 19.79-25.10), while the remaining 50 (15.2%) were classified as dispensing errors (rate per 10,000 items dispensed=3.99, 95%CI 2.96-5.26). Selection errors were the most common types of incidents (199, 60.3%), followed by labeling (109, 33.0%) and bagging errors (22, 6.6%). Most of the incidents were caused e...Continue Reading

References

May 15, 1997·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·B L Lambert
Mar 17, 2000·BMJ : British Medical Journal·S N WeingartB Harrison
Nov 18, 2000·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·R A Smallwood
May 16, 2001·Social Science & Medicine·B L LambertS J Lin
Mar 9, 2002·BMJ : British Medical Journal·Tim Wilson, Aziz Sheikh
Jan 22, 2003·Journal of General Internal Medicine·Eric J Thomas, Laura A Petersen
Apr 12, 2003·Journal of the American Pharmaceutical Association : APhA·Elizabeth Allan FlynnBrian J Carnahan
Aug 12, 2003·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Siew-Siang ChuaJenny Grantham
Feb 3, 2004·American Journal of Infection Control·Judith Morrison, UNKNOWN Health Canada, Nosocomial and Occupational Infections Section

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Citations

Jun 25, 2008·Pharmacy World & Science : PWS·Tuula TeiniläMarja Airaksinen
Aug 27, 2013·International Journal of Clinical Pharmacy·Julia Fiona-Maree GilmartinSafeera Yasmeen Hussainy
May 24, 2006·Ergonomics·L KanseH van Mierlo
Feb 4, 2006·Quality & Safety in Health Care·D M AshcroftP R Noyce
Sep 9, 2009·BMC Health Services Research·Denham L PhippsDarren M Ashcroft
Mar 20, 2013·Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC·Andrea C ScobieThomas Mahaffey
Sep 29, 2011·Journal of the American Medical Informatics Association : JAMIA·Simon Y W LiEnrico Coiera
Nov 2, 2014·Journal of Evaluation in Clinical Practice·Rosemary NewhamPaul Bowie
Mar 25, 2014·International Journal of Medical Informatics·Olufunmilola K OdukoyaMichelle A Chui
Mar 18, 2009·Journal of the American Pharmacists Association : JAPhA·Elizabeth A FlynnPatrick D Brackett
Sep 15, 2009·Journal of the American Pharmacists Association : JAPhA·Tuula TeiniläMarja Airaksinen
Dec 30, 2014·Journal of the American Pharmacists Association : JAPhA·Olufunmilola K OdukoyaMichelle A Chui
Mar 27, 2013·Research in Social & Administrative Pharmacy : RSAP·Todd A BoyleAmelia Mahaffey
Mar 17, 2012·Research in Social & Administrative Pharmacy : RSAP·Todd A BoyleNatalie Dow
Aug 13, 2011·Health Policy·Ellen Ingrid SchafheutleKaren Hassell
Jan 29, 2011·Research in Social & Administrative Pharmacy : RSAP·Tuula TeiniläMarja Airaksinen
Mar 15, 2011·Research in Social & Administrative Pharmacy : RSAP·Todd A BoyleHolly Morgan
Apr 14, 2009·Annales de dermatologie et de vénéréologie·B Lebrun-Vignes
Dec 17, 2008·International Journal of Medical Informatics·Tobias Grundgeiger, Penelope Sanderson
Apr 8, 2015·Research in Social & Administrative Pharmacy : RSAP·Pouyan Esmaeil Zadeh, Monica Chiarini Tremblay
Jul 28, 2011·Methods of Information in Medicine·F MagrabiE Coeira
Jul 16, 2015·International Journal of Clinical Pharmacy·Victoria M LeaRuth M Rodgers
Jul 15, 2009·British Journal of Clinical Pharmacology·Ka-Chun CheungPeter A G M De Smet
Jan 13, 2012·The International Journal of Pharmacy Practice·Tuula TeiniläMarja Airaksinen
Jan 18, 2011·The International Journal of Pharmacy Practice·K Lynette JamesCate Whittlesea
Nov 9, 2012·The International Journal of Pharmacy Practice·Remo OstiniSusan E Tett
Nov 9, 2011·The International Journal of Pharmacy Practice·Amy IrwinKathryn Mearns
Jun 9, 2012·Pharmacoepidemiology and Drug Safety·Antonio Pintor-MármolMaria José Faus
Jun 24, 2014·The International Journal of Pharmacy Practice·Janice O OlaniyanPaul Robinson
May 18, 2013·The International Journal of Pharmacy Practice·Elizabeth Seston, Karen Hassell
Jan 29, 2016·Journal of Pharmaceutical Health Care and Sciences·Toshikazu TsujiSatohiro Masuda
Jun 7, 2006·Applied Ergonomics·P BuckleJ Anderson
Jun 25, 2015·Saudi Pharmaceutical Journal : SPJ : the Official Publication of the Saudi Pharmaceutical Society·Hamoud Saud Alotaibi, Malik Abdelhalim Abdelkarim
Jul 26, 2014·Saudi Pharmaceutical Journal : SPJ : the Official Publication of the Saudi Pharmaceutical Society·Mohamed N Al-Arifi
Feb 4, 2014·Research in Social & Administrative Pharmacy : RSAP·S J JohnsonD M Ashcroft
Aug 20, 2014·Journal of Patient Safety·Daniel DarbyshireSteven Agius
Dec 31, 2015·BMJ Quality & Safety·Sukhmeet Singh PanesarAziz Sheikh
Oct 28, 2016·Journal of Clinical Pharmacy and Therapeutics·S Cerqueira SantosD P de Lyra
Jul 31, 2012·Journal of Pharmacy Practice·Christine AguilarTerri L Warholak
Jan 23, 2016·Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC·Nicole W TsaoCarlo A Marra

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