Distribution accuracy of a decentralized unit dose system
1975; Oxford University Press; Volume: 32; Issue: 11 Linguagem: Inglês
10.1093/ajhp/32.11.1124
ISSN1535-2900
AutoresCharles E. Mayo, Reginald G. Kitchens, Renford Reese, William J. Spruill, A. Thomas Taylor, Max D. Ray,
Tópico(s)Pharmaceutical Practices and Patient Outcomes
ResumoUnit dose medication carts in a 500-bed university hospital were monitored for accuracy and completeness after delivery to the nursing station. The contents of the cart were compared with the nurse's patient medication record. Discrepancies were recorded for evaluation. All medication cart distribution errors found were analyzed to identify the source and were tabulated to determine error rate. Three major categories of errors were discovered: pharmacy technician errors not corrected by the pharmacist, errors associated with nurse's patient medication records, and errors resulting from lost orders.
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