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Titolo:
Impact of automation on pharmacist interventions and medication errors in a correctional health care system
Autore:
Carmenates, J; Keith, MR;
Indirizzi:
Univ Texas, Med Branch, Texas Dept Criminal Justice ID, Correctional Managed Care Dept Pharm,Coll Pharm, Huntsville, TX 77320 USA Univ Texas Huntsville TX USA 77320 m,Coll Pharm, Huntsville, TX 77320 USA
Titolo Testata:
AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
fascicolo: 9, volume: 58, anno: 2001,
pagine: 779 - 783
SICI:
1079-2082(20010501)58:9<779:IOAOPI>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISPENSING SYSTEM; IMPLEMENTATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Carmenates, J Univ Texas, Med Branch, Texas Dept Criminal Justice ID, Correctional Managed Care Dept Pharm,Coll Pharm, Estelle Unit,264FM 3478, Huntsville, TX 77320 USA Univ Texas Estelle Unit,264FM 3478 Huntsville TX USA 77320 A
Citazione:
J. Carmenates e M.R. Keith, "Impact of automation on pharmacist interventions and medication errors in a correctional health care system", AM J HEAL S, 58(9), 2001, pp. 779-783

Abstract

The implementation and impact of an automated check-and-sortation system in a correctional health care system are described. In February 1998 the Managed Health Care Division of the University of Houston College of Pharmacy submitted a proposal to the Texas State Board of Pharmacy for installing an automated check-and-sortation device in its distributive system serving Texas Department of Criminal Justice offenders. The new system would eliminate final visual verification of medication orders by pharmacists and thereby give them more time for in-depth reviews of patient profiles and for recommending clinical interventions. A vendor interested in developing a prototypic automated system was identified, and a diseasemanagement training course was developed to enable staff pharmacists to provide evidence-based pharmacotherapy recommendations. Twelve months of databefore automation (February 1997 to January 1998) were compared with 16 months of postautomation data (June 1998 to September 1999). The number of clinical interventions increased from 396 per 100,000 medication orders filled before automation to 1075 per 100,000 orders after automation. Dispensingerrors decreased from 6.3 and 4.1 pr 100,000 medication orders filled. Identified filling errors increased from 224 to 256 per 100,000 orders. The reliability of the automated system was evidenced by a dispensing error rate of 0.6 per 100,000 orders. Implementation of an automated check-and-sortation device in a correctional health care system appeared to reduce dispensing errors and give pharmacists more time to review patient profiles nad recommend clinical interventions.

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Documento generato il 31/03/20 alle ore 09:00:27