The relationship between occurrence timing of dispensing errors and subsequent danger to patients under the situation according to the classification of drugs by efficacy

Toshikazu Tsuji, Kenichiro Nagata, Takehiro Kawashiri, Takaaki Yamada, Toshihiro Irisa, Yuko Murakami, Akiko Kanaya, Nobuaki Egashira, Satohiro Masuda

Research output: Contribution to journalComment/debate

Abstract

There are many reports regarding various medical institutions’ attempts at the prevention of dispensing errors. However, the relationship between occurrence timing of dispensing errors and subsequent danger to patients has not been studied under the situation according to the classification of drugs by efficacy. Therefore, we analyzed the relationship between position and time regarding the occurrence of dispensing errors. Furthermore, we investigated the relationship between occurrence timing of them and danger to patients. In this study, dispensing errors and incidents in three categories (drug name errors, drug strength errors, drug count errors) were classified into two groups in terms of its drug efficacy (efficacy similarity (-) group, efficacy similarity (+) group), into three classes in terms of the occurrence timing of dispensing errors (initial phase errors, middle phase errors, final phase errors). Then, the rates of damage shifting from "dispensing errors" to "damage to patients" were compared as an index of danger between two groups and among three classes. Consequently, the rate of damage in "efficacy similarity (-) group" was significantly higher than that in "efficacy similarity (+) group". Furthermore, the rate of damage is the highest in "initial phase errors", the lowest in "final phase errors" among three classes. From the results of this study, it became clear that the earlier the timing of dispensing errors occurs, the more severe the damage to patients becomes.

Original languageEnglish
Pages (from-to)1573-1584
Number of pages12
JournalYakugaku Zasshi
Volume136
Issue number11
DOIs
Publication statusPublished - Jan 1 2016

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All Science Journal Classification (ASJC) codes

  • Pharmacology
  • Pharmaceutical Science

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