Title of Research
Higher Medication Administration Errors Associated with Automated Dispensing System Usage
Start Date
18-8-2017 10:00 AM
End Date
18-8-2017 11:30 AM
Abstract
According to a report by The Institute of Medicine, medical errors were associated with up to 98,000 deaths and more than 1 million injuries each year in the United States. These errors can result in poor outcomes, which increase harm or death. According to the Pennsylvania Patient Safety Reporting System, up to 15% of errors reported cite automated dispensing cabinets as the source of the drug involved in the error.Nearly 58% to 70% of hospitals nationwide use automated dispensing cabinets. Nurses play a critical role in promoting patient safety by surveilling and intercepting any possible errors that could occur during patient care, especially with medication administration. The purpose of this integrative literature review was aimed at exploring and analyzing research on various ways to decrease medication administration errors associated with automated dispensing system usage. The methods used to conduct this literature review included a search of the following databases: CINAHL Complete, PubMed, ProQuest Nursing & Allied Health Database, and Medline. The keywords used were medication administration, errors, pyxis, and automated dispensing system. The most common errors and risks associated with automated dispensing systems were identified as the inability to troubleshoot problems, reliance on technology, and not following the five rights of medication administration. Numerous methods and interventions have worked to decrease medication administration errors including limiting distractions and interruptions, providing adequate training and continued education, improving delivery methods, and advocating for nursing needs. Exploring these options is essential for improving patient safety amongst nursing professionals.
Keywords: medication administration, errors, pyxis, automated dispensing system
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Higher Medication Administration Errors Associated with Automated Dispensing System Usage
According to a report by The Institute of Medicine, medical errors were associated with up to 98,000 deaths and more than 1 million injuries each year in the United States. These errors can result in poor outcomes, which increase harm or death. According to the Pennsylvania Patient Safety Reporting System, up to 15% of errors reported cite automated dispensing cabinets as the source of the drug involved in the error.Nearly 58% to 70% of hospitals nationwide use automated dispensing cabinets. Nurses play a critical role in promoting patient safety by surveilling and intercepting any possible errors that could occur during patient care, especially with medication administration. The purpose of this integrative literature review was aimed at exploring and analyzing research on various ways to decrease medication administration errors associated with automated dispensing system usage. The methods used to conduct this literature review included a search of the following databases: CINAHL Complete, PubMed, ProQuest Nursing & Allied Health Database, and Medline. The keywords used were medication administration, errors, pyxis, and automated dispensing system. The most common errors and risks associated with automated dispensing systems were identified as the inability to troubleshoot problems, reliance on technology, and not following the five rights of medication administration. Numerous methods and interventions have worked to decrease medication administration errors including limiting distractions and interruptions, providing adequate training and continued education, improving delivery methods, and advocating for nursing needs. Exploring these options is essential for improving patient safety amongst nursing professionals.
Keywords: medication administration, errors, pyxis, automated dispensing system
Comments
References available on attached word document (see extra file)