Article Text

Download PDFPDF

3PC-008 Times and errors for dispensing narcotic drugs in automated system versus manual system
Free
  1. P Martínez Albaladejo,
  2. I Ricoy Sanz,
  3. M Saez Bello,
  4. JP Ordovas Baines,
  5. M Climente Marti
  1. Universitary Doctor Peset Hospital, Department of Pharmacy, Valencia, Spain

Abstract

Background and importance Narcotic drugs require a special control and monitoring by the Pharmacy Service (PS) to ensure their correct storage and dispensing. An automated dispensing system could promote a safer and more efficient process.

Aim and objectives Describe and analyse drug replacement times and errors through a manual process versus an automated process.

Material and methods A prospective 1-month observational study, divided into two periods, was carried out. In the first period (15 days), the replacement of Hospitalisation Units Dispensing System (UH-DS) was carried out through a manual process guided by the user. In the second period (15 days), after the implementation of a new automated Pharmacy Service Dispensing System (PS-DS), the replacement was carried out by computer integration between UH-DS and PS-DS.

Times were described through medians and interquartile ranges (IQRs) and were compared using a Mann–Whitney U test. Replacement errors were described through the percentage of errors with respect to the total number of units replaced and were compared using a Chi-square test.

Results A total of 1991 units were dispensed: 1082 units through the manual process and 909 units through the integrated automated process. The total time taken was 16.8 s/unit (IQR 3.6) for the manual process, while for the integrated process it was 9 s/unit (IQR 2, 4) (p <0.05). The number of errors detected for the manual process was 1.57% (17/1082) compared to 0.88% (8/909) for the integrated process, which represented a reduction of 56% (p>0.05).

Conclusion and relevance The implementation of an automated process integrated with a PS-DS allowed the reduction of replacement times by 46.4%, as well as replacement errors by 56%. This improvement provides a safer and more efficient drug replenishment circuit that should be implemented in routine clinical practice.

Conflict of interest No conflict of interest

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.