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errors by pharmacy technicians

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https://www.readbyqxmd.com/read/27402999/chemotherapy-order-entry-by-a-clinical-support-pharmacy-technician-in-an-outpatient-medical-day-unit
#1
Heather Neville, Larry Broadfield, Claudia Harding, Shelley Heukshorst, Jennifer Sweetapple, Megan Rolle
BACKGROUND: Pharmacy technicians are expanding their scope of practice, often in partnership with pharmacists. In oncology, such a shift in responsibilities may lead to workflow efficiencies, but may also cause concerns about patient risk and medication errors. OBJECTIVES: The primary objective was to compare the time spent on order entry and order-entry checking before and after training of a clinical support pharmacy technician (CSPT) to perform chemotherapy order entry...
May 2016: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/27303094/utilization-of-pharmacy-technicians-to-increase-the-accuracy-of-patient-medication-histories-obtained-in-the-emergency-department
#2
Ellen C Rubin, Radhika Pisupati, Steven F Nerenberg
PURPOSE: The purpose of this study is to determine the accuracy of a pharmacy technician-collected medication history pilot program in the emergency department. This was completed by reviewing all elements of the technician activity by direct observation and by verifying the technician-collected medication list through a second phone call by a pharmacist to the outpatient pharmacy. METHODS: This was a retrospective, single-center study conducted from March to April 2015...
May 2016: Hospital Pharmacy
https://www.readbyqxmd.com/read/27193033/cognitive-tests-predict-real-world-errors-the-relationship-between-drug-name-confusion-rates-in-laboratory-based-memory-and-perception-tests-and-corresponding-error-rates-in-large-pharmacy-chains
#3
Scott R Schroeder, Meghan M Salomon, William L Galanter, Gordon D Schiff, Allen J Vaida, Michael J Gaunt, Michelle Bryson, Christine Rash, Suzanne Falck, Bruce L Lambert
BACKGROUND: Drug name confusion is a common type of medication error and a persistent threat to patient safety. In the USA, roughly one per thousand prescriptions results in the wrong drug being filled, and most of these errors involve drug names that look or sound alike. Prior to approval, drug names undergo a variety of tests to assess their potential for confusability, but none of these preapproval tests has been shown to predict real-world error rates. OBJECTIVES: We conducted a study to assess the association between error rates in laboratory-based tests of drug name memory and perception and real-world drug name confusion error rates...
May 18, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/26976831/simulation-of-medication-error-induced-by-clinical-trial-drug-labeling-the-simme-ct-study
#4
Cecile Dollinger, Vérane Schwiertz, Laura Sarfati, Chloé Gourc-Berthod, Marie-Gabrielle Guédat, Céline Alloux, Nicolas Vantard, Noémie Gauthier, Sophie He, Elena Kiouris, Anne-Gaelle Caffin, Delphine Bernard, Florence Ranchon, Catherine Rioufol
OBJECTIVE: To assess the impact of investigational drug labels on the risk of medication error in drug dispensing. DESIGN: A simulation-based learning program focusing on investigational drug dispensing was conducted. SETTING: The study was undertaken in an Investigational Drugs Dispensing Unit of a University Hospital of Lyon, France. PARTICIPANTS: Sixty-three pharmacy workers (pharmacists, residents, technicians or students) were enrolled...
June 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/26796911/implementation-and-evaluation-of-a-gravimetric-i-v-workflow-software-system-in-an-oncology-ambulatory-care-pharmacy
#5
Kelley M Reece, Miguel A Lozano, Ryan Roux, Susan M Spivey
PURPOSE: The implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy are described. SUMMARY: To estimate the risk involved in the sterile i.v. compounding process, a failure modes and effects analysis (FMEA) in the oncology ambulatory care pharmacy was performed. When a volumetric-based process was used to reconstitute vials, the actual concentration was unknown since an assumption must be made that the exact volume of diluent was used when reconstituting the drug...
February 1, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/26721536/comparison-of-barcode-scanning-by-pharmacy-technicians-and-pharmacists-visual-checks-for-final-product-verification
#6
COMPARATIVE STUDY
Bryan Nian-Tsi Wang, Philip Brummond, James G Stevenson
PURPOSE: The results of an evaluation of barcode verification by pharmacy technicians as an alternative to visual checking by pharmacists in the final stage of the dispensing process are reported. METHODS: A two-phase study was conducted to compare error rates with pharmacist visual checks versus technician-operated barcode scanning for final verification of prepackaged unit dose medications dispensed from a satellite pharmacy of a large hospital. In phase 1 of the research, potential errors detected by technician barcode scanning after pharmacist visual checking and approval to dispense were measured over two weeks; in phase 2, dispensing errors not detected through technician scanning that were subsequently detected by pharmacist visual check were measured over three weeks...
January 15, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/26466505/-a-training-medication-errors-room-simulate-to-better-train-health-professionals
#7
P Joret-Descout, F Te Bonle, C Demange, M Bechet, M Da Costa, G Camus, X Bohand
BACKGROUND: Medication errors (ME) could lead to severe adverse events. Hospital staff have to gain practical knowledge and ME preventing methods. Simulation is a teaching method more and more used in health system. The aim of this study was to create an error patient room which represents a factitious patient room with ME for health professionals of the hospital. METHOD: Chosen according 3 criteria (errors already observed, "never events" related errors, errors associated with frequent issues), 21 ME were designed concerning the different steps of the medication process (prescribing, dispensing and administration) and took place in a patient room reserved for training...
June 2015: Journal de Pharmacie de Belgique
https://www.readbyqxmd.com/read/26386946/evaluation-of-a-hybrid-paper-electronic-medication-management-system-at-a-residential-aged-care-facility
#8
Rohan A Elliott, Cik Yin Lee, Safeera Y Hussainy
Objectives The aims of the study were to investigate discrepancies between general practitioners' paper medication orders and pharmacy-prepared electronic medication administration charts, back-up paper charts and dose-administration aids, as well as delays between prescribing, charting and administration, at a 90-bed residential aged care facility that used a hybrid paper-electronic medication management system. Methods A cross-sectional audit of medication orders, medication charts and dose-administration aids was performed to identify discrepancies...
June 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/26298847/-drug-management-of-prisoners-role-of-the-pharmaceutical-staff-to-ensure-patient-safety
#9
L Lalande, C Bertin, C Rioufol, P Boleor, D Cabelguenne
OBJECTIVES: In the prisons of Lyon, drug management of inmates implies cooperation between general practitioners, psychiatrists and pharmacists. All the medical prescriptions are reviewed by the pharmacists of the medical unit. The aim of this work was to synthesize the pharmaceutical interventions performed and show the implication of the pharmaceutical staff in detecting and handling prescribing errors. METHODS: Pharmaceutical interventions performed between the 1st of June 2012 and the 31st December 2014 and entered in the Act-IP(®) database (SFPC) were retrospectively analyzed...
March 2016: Annales Pharmaceutiques Françaises
https://www.readbyqxmd.com/read/26240744/safety-risks-with-investigational-drugs-pharmacy-practices-and-perceptions-in-the-veterans-affairs-health-system
#10
Jennifer L Cruz, Jamie N Brown
OBJECTIVES: Rigorous practices for safe dispensing of investigational drugs are not standardized. This investigation sought to identify error-prevention processes utilized in the provision of investigational drug services (IDS) and to characterize pharmacists' perceptions about safety risks posed by investigational drugs. METHODS: An electronic questionnaire was distributed to an audience of IDS pharmacists within the Veteran Affairs Health System. Multiple facets were examined including demographics, perceptions of medication safety, and standard processes used to support investigational drug protocols...
June 2015: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/26108297/accidents-and-incidents-related-to-intravenous-drug-administration-a-pre-post-study-following-implementation-of-smart-pumps-in-a-teaching-hospital
#11
Aurélie Guérin, Julien Tourel, Emmanuelle Delage, Stéphanie Duval, Marie-Johanne David, Denis Lebel, Jean-François Bussières
INTRODUCTION: Smart pumps are expected to prevent and reduce medication errors. The implementation of smart pumps requires a significant effort and collaboration of physicians, nurses, pharmacists, and other stakeholders. OBJECTIVES: The main objective of this study was to evaluate the impact of new smart pumps on reported drug-related accidents and incidents (AIs). METHOD: This is a descriptive retrospective pre-post study conducted at a women's and pediatric hospital with 500 beds...
August 2015: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/25628508/a-program-using-pharmacy-technicians-to-collect-medication-histories-in-the-emergency-department
#12
Coleen Hart, Christine Price, Glenn Graziose, Jonathan Grey
PURPOSE: To evaluate the percentage, frequency, and types of medication history errors made by pharmacy technicians compared with nurses in the emergency department (ED) to determine if patient safety and care can be improved while reducing nurses' workloads. METHODS: Medication history errors were evaluated in a pre-post study comparing a historical control group (nurses) prior to the implementation of a pharmacy technician program in the ED to a prospective cohort group (pharmacy technicians)...
January 2015: P & T: a Peer-reviewed Journal for Formulary Management
https://www.readbyqxmd.com/read/25539495/barriers-and-facilitators-to-recovering-from-e-prescribing-errors-in-community-pharmacies
#13
Olufunmilola K Odukoya, Jamie A Stone, Michelle A Chui
OBJECTIVE: To explore barriers and facilitators to recovery from e-prescribing errors in community pharmacies and to explore practical solutions for work system redesign to ensure successful recovery from errors. DESIGN: Cross-sectional qualitative design using direct observations, interviews, and focus groups. SETTING: Five community pharmacies in Wisconsin. PARTICIPANTS: 13 pharmacists and 14 pharmacy technicians. INTERVENTIONS: Observational field notes and transcribed interviews and focus groups were subjected to thematic analysis guided by the Systems Engineering Initiative for Patient Safety (SEIPS) work system and patient safety model...
January 2015: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/25477614/a-quantitative-evaluation-of-medication-histories-and-reconciliation-by-discipline
#14
Joan S Kramer, Michael R Stewart, Sarah M Fogg, Brandon C Schminke, Rosalee E Zackula, Tina M Nester, Leslie A Eidem, James C Rosendale, Robert H Ragan, Jack A Bond, Kreg W Goertzen
BACKGROUND/OBJECTIVE: Medication reconciliation at transitions of care decreases medication errors, hospitalizations, and adverse drug events. We compared inpatient medication histories and reconciliation across disciplines and evaluated the nature of discrepancies. METHODS: We conducted a prospective cohort study of patients admitted from the emergency department at our 760-bed hospital. Eligible patients had their medication histories conducted and reconciled in order by the admitting nurse (RN), certified pharmacy technician (CPhT), and pharmacist (RPh)...
October 2014: Hospital Pharmacy
https://www.readbyqxmd.com/read/25456778/a-prospective-cohort-study-of-medication-reconciliation-using-pharmacy-technicians-in-the-emergency-department-to-reduce-medication-errors-among-admitted-patients
#15
Sarah Wallace Cater, Matthew Luzum, Allison E Serra, Meredith H Arasaratnam, Debbie Travers, Ian B K Martin, Trent Wei, Jane H Brice
BACKGROUND: The collection of a complete, verified medication history is essential to patient safety. The involvement of clinical pharmacists has been shown to improve the completeness and accuracy of medication histories; however, to our knowledge, involvement of pharmacy technicians has not been studied. OBJECTIVE: Our aim was to determine whether verification of medication histories by pharmacy technicians in the emergency department (ED) would result in fewer errors in inpatient medication regimens compared to verification by the admitting physician team...
February 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25343210/pharmacy-technician-to-pharmacist-ratios-a-state-driven-safety-and-quality-decision
#16
COMPARATIVE STUDY
D Todd Bess, Jason Carter, Lindsey DeLoach, Carol L White
OBJECTIVE: To discuss the policy of pharmacy technician-to-pharmacist ratios by comparing Florida as an example of legislative-led authority versus Tennessee as an example of board of pharmacy-led ruling. SUMMARY: Over the past 2 years, the Florida legislature has debated the issue of pharmacy staffing ratios, initially leaving the Florida Board of Pharmacy with little authority to advocate for and enact safe technician staffing ratios. Anticipating this situation, the Tennessee Board of Pharmacy created rules to meet pharmacy staffing needs while protecting the authority of the pharmacist-in-charge and promoting patient safety...
November 2014: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/25298810/evaluation-of-a-user-guidance-reminder-to-improve-the-quality-of-electronic-prescription-messages
#17
A A Dhavle, S T Corley, M T Rupp, J Ruiz, J Smith, R Gill, M Sow
BACKGROUND: Prescribers' inappropriate use of the free-text Notes field in new electronic prescriptions can create confusion and workflow disruptions at receiving pharmacies that often necessitates contact with prescribers for clarification. The inclusion of inappropriate patient direction (Sig) information in the Notes field is particularly problematic. OBJECTIVE: We evaluated the effect of a targeted watermark, an embedded overlay, reminder statement in the Notes field of an EHR-based e-prescribing application on the incidence of inappropriate patient directions (Sig) in the Notes field...
2014: Applied Clinical Informatics
https://www.readbyqxmd.com/read/24991623/medication-reconciliation-and-prescribing-reviews-by-pharmacy-technicians-in-a-geriatric-ward
#18
Thomas Croft Buck, Louise Smed Gronkjaer, Marie-Louise Duckert, Jens-Ulrik Rosholm, Lise Aagaard
OBJECTIVE: Incomplete medication histories obtained on hospital admission are responsible for more than 25% of prescribing errors. This study aimed to evaluate whether pharmacy technicians can assist hospital physicians' in obtaining medication histories by performing medication reconciliation and prescribing reviews. A secondary aim was to evaluate whether the interventions made by pharmacy technicians could reduce the time spent by the nurses on administration of medications to the patients...
October 2013: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/24847095/inappropriate-discharge-on-bronchodilators-and-acid-blocking-medications-after-icu-admission-importance-of-medication-reconciliation
#19
Andrey Pavlov, Rostislav Muravyev, Yaw Amoateng-Adjepong, Constantine A Manthous
BACKGROUND: Previous studies suggest that some medications, including proton pump inhibitors and β-agonist inhalers, are administered to hospitalized patients and sometimes continued without indications. Medication reconciliation has been offered as one mechanism to reduce the frequency of such medication errors and is now mandated by the Joint Commission (NPSG.03.06.01). We hypothesized that (1) β agonists and acid-blocking medications are prescribed following critical illness without indications, and (2) medication reconciliation can reduce the frequency of inappropriate continuation of these agents...
October 2014: Respiratory Care
https://www.readbyqxmd.com/read/24799724/decentralized-automated-dispensing-devices-systematic-review-of-clinical-and-economic-impacts-in-hospitals
#20
REVIEW
Nicole W Tsao, Clifford Lo, Michele Babich, Kieran Shah, Nick J Bansback
BACKGROUND: Technologies have been developed over the past 20 years to automate the stages of drug distribution in hospitals, including ordering, dispensing, delivery, and administration of medications, in attempts to decrease medication error rates. Decentralized automated dispensing devices (ADDs) represent one such technology that is being adopted by hospitals across Canada, but the touted benefits, in terms of improved patient safety and cost savings, are increasingly being questioned...
March 2014: Canadian Journal of Hospital Pharmacy
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