Analysis of Relationship between Environmental Improvements of Pharmacy and Human Error in Preventive Measures for Dispensing Mistakes

Tachi, Tomoya; Teramachi, Hitomi; Tamura, Kento; Komada, Natsuki; Shiga, Hitomi; Imai, Kazunori; Tsuchiya, Teruo

doi:10.5649/jjphcs.38.513

Cited by 3 publications

(2 citation statements)

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“…Inspecting on uneven surfaces may lead to serious mistakes such as dropping or loss of medicines, picking up the wrong prescriptions, and so on. One of the measures for preventing dispensing errors and accidents caused by human error is organizing the dispensing room [15]. Therefore, it was suggested that it's necessary to maintain a well-organized inspecting space and dispensing room.…”

Section: Discussionmentioning

confidence: 99%

Study of Factors Affecting Medical Incident: 3. Medicine Inspection

Miyachi¹,

Nakayama²,

Horiba³

et al. 2020

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It is the responsibility of pharmacists to ensure the safety of patients as pharmacist's professional duties expand into diverse directions. In recent years, the use of automated dispensing systems has increased; however, the inspection by pharmacists is the most important step in the prevention of medical errors. Comparing the inspection of hospital and community pharmacists may lead to an increased awareness of incident countermeasures. Therefore, eye tracking was performed for hospital and community pharmacists who conduct inspection, and the results revealed the factors that affect dispensing errors. One of the factors was the size of the dispensing space, especially if the space was small and the items needed were not easily accessible. In addition, differences in the inspection procedures among pharmacists were presumed to lead to possible dispensing errors due to oversights. Moreover, it was suggested that any subsequent work would flow more smoothly if a pharmacist checked the prescription and medication history management records at the beginning. Furthermore, it was thought that keeping a history of checks, such as recording any prescription checks in writing, would speed up finding the cause in the unlikely event that a dispensing error occurred. Accordingly, creating an environment in which one can concentrate without distractions during the inspections can lead to the prevention of dispensing error.

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Section: Discussionmentioning

confidence: 99%

Study of Factors Affecting Medical Incident: 3. Medicine Inspection

Miyachi¹,

Nakayama²,

Horiba³

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Therefore, clarifying protocols and establishing a system to check them will lead to safety measures [19]. Studies on dispensing errors have shown that "impatience," rather than "insufficient knowledge" or "inexperience," is the most common cause of dispensing errors during preparation [20]. Therefore, errors are more likely to be influenced by psychological and emotional factors than physical factors.…”

Section: Considerationmentioning

confidence: 99%

Comparison of Anticancer Drug Preparation Techniques between Chemotherapy Specialist Pharmacists and Non-Chemotherapy Pharmacists Using Eye-Tracking Techniques

Miyachi,

Miyagi,

Gocho

et al. 2023

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Anticancer drug preparation by pharmacists is a critical task directly related to medical incidents. This study examined the factors influencing medical errors in chemotherapy, that is, errors by specialist pharmacists (CPh) and pharmacists in other departments (NCPh), by measuring their gaze during the preparation of anticancer drugs. The eye-tracking results showed that the gazing time of NCPh was significantly longer than that of CPh for items such as "preparation of a closed-system device" and "preparation of the syringe" and all preparation times (P < 0.05). The NCPh were not assigned to prepare drugs on a regular basis, indicating their lack of familiarity with the process. There was no significant difference in gaze ratio between CPh and NCPh. This outcome was suggested to be a result of the use of an anticancer drug preparation support system. The results for the pupil diameter variation rate showed that NCPh were significantly more mydriatic in the "mixing injections" category than CPh. However, CPh tended to be more mydriatic in the "checking" category. CPh exhibited a smooth workflow and focused on the important items to be checked. This study showed that the differences in procedure flow and concentration points may lead to errors. Furthermore, the results are of interest from the perspective of medical incident prevention. They will be useful in identifying potential human factors, such as where the pharmacist focuses their attention by measuring eye movements.

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Forty-three Years of Dedicated Efforts in Advancing Pharmacist Expertise: Aspiring to Become a Pharmacist and Cultivate Pharmacists Proficient in Recommending Prescription Medicines to Doctors

Teramachi

2024

YAKUGAKU ZASSHI

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When I graduated from university, my aim was to become a pharmacist capable of recommending prescription medicines to doctors and teaching others to do the same. To achieve this goal, I developed comprehensive curricula incorporating progressive educational tools such as problem-based learning and small group discussions. Subsequently, the effectiveness of these tools and curricula was evaluated, and the findings of these assessments were published in various peer-reviewed journal articles. Consequently, a body of evidence on the most effective ways to recommend prescription medicines to doctors was gradually established. This paper aims to summarize this comprehensive body of research spanning over 43 years, with the objective of highlighting the valuable insights gained thus far, identifying the best practice techniques, and exploring potential avenues for future research.

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Analysis of Relationship between Environmental Improvements of Pharmacy and Human Error in Preventive Measures for Dispensing Mistakes

Cited by 3 publications

References 0 publications

Study of Factors Affecting Medical Incident: 3. Medicine Inspection

Study of Factors Affecting Medical Incident: 3. Medicine Inspection

Comparison of Anticancer Drug Preparation Techniques between Chemotherapy Specialist Pharmacists and Non-Chemotherapy Pharmacists Using Eye-Tracking Techniques

Forty-three Years of Dedicated Efforts in Advancing Pharmacist Expertise: Aspiring to Become a Pharmacist and Cultivate Pharmacists Proficient in Recommending Prescription Medicines to Doctors

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