Comparison of barcode scanning by pharmacy technicians and pharmacists’ visual checks for final product verification

Wang, Bryan Nian Tsi; Brummond, Philip; Stevenson, James G.

doi:10.2146/ajhp150135

Cited by 16 publications

(19 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Six of the included studies utilised a pre and post-intervention methodology with prospective observations, [24][25][26][30][31][32] four were parallel arm prospective observational studies 22,[27][28][29] and one was a multi-phase prospective observational study. 23 The data collection periods ranged from 6 days to 1 year.…”

Section: Methodsmentioning

confidence: 99%

“…23 The data collection periods ranged from 6 days to 1 year. The majority of studies used a research pharmacist observer who identified dispensing errors independent to the dispensing process, 22,[24][25][26][27]30 while others incorporated the identification and documentation of dispensing errors into the final verification stage of the dispensing process. 23,24,29,31,32 In all but one study, those evaluating the presence of dispensing errors were not blinded to the study allocation of the medication orders or prescriptions being assessed.…”

Section: Methodsmentioning

confidence: 99%

“…Eleven studies met the inclusion criteria for this review (Table 1). Six of the studies were conducted in the United States, [22][23][24][25][26][27] and one each in Australia, 28 France, 29 Spain, 30 Taiwan 31 and the United Kingdom. 32…”

Section: Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Interventions to decrease the incidence of dispensing errors in hospital pharmacy: a systematic review and meta‐analysis

Poole

Kwong

Mok

et al. 2021

Pharmacy Practice and Res

View full text Add to dashboard Cite

Background: Dispensing errors have the potential to cause significant patient harm. Strategies shown to improve the safety of medication dispensing have been widely published, however, there is an absence of literature comprehensively assessing the outcomes of these strategies. Aim: To evaluate the effectiveness of interventions designed to decrease the rate of dispensing errors in hospital pharmacy dispensaries. Methods: A systematic review and meta-analysis of the peer reviewed literature were conducted. Medline, Embase, CENTRAL and CINAHL were searched to identify comparative studies that evaluated interventions designed to reduce the rate of dispensing errors in hospital pharmacy dispensaries. Data were extracted from eligible studies using a standardised data collection tool. Quality assessment was conducted using the Scottish Intercollegiate Guidelines Network Checklist-3. Meta-analysis was performed using a random effects model and presented as risk ratios (RR), with corresponding 95% confidence intervals (CI). Results: Eleven studies were eligible for inclusion. Interventions included implementation of dispensing technologies, accredited technicians performing prescription verification, and addressing look-alike medications. Five studies detected dispensing errors during final verification (prevented or near-miss dispensing errors); five studies identified unprevented dispensing errors; one study evaluated both. There was a statistically significant reduction in the pooled rate of dispensing errors from 0.080% in the control group to 0.043% in the intervention group (rate difference 0.037%, 95% CI 0.033-0.042%). Meta-analysis demonstrated a 34% reduction in the risk of prevented dispensing errors (RR 0.66, 95% CI 0.46-0.93) and 68% reduction in the risk of unprevented dispensing errors (RR 0.32, 95% CI 0.24-0.43). Conclusion: This is the first systematic review and meta-analysis of the impact of dispensing errors interventions. The results indicate that the implementation of the most effective interventions, such as appropriately trained staff and using technology, results in reductions in dispensing error rates.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Interventions to decrease the incidence of dispensing errors in hospital pharmacy: a systematic review and meta‐analysis

Poole

Kwong

Mok

et al. 2021

Pharmacy Practice and Res

View full text Add to dashboard Cite

show abstract

“…Wang et al demonstrated that implementing this technology during drug selection could significantly reduce error rates compared with mere visual checking (−0.07% error rate; P = .008). 7 An observational study conducted in a tertiary care facility, in which 14 041 medication administrations and 3082 order transcriptions were assessed, exhibited a 41.4% relative reduction in errors ( P < .001) after barcode scanning implementation. 8 In an additional study, a greater than 90% relative reduction in the incidence of pharmacy dispensing errors was observed when barcode scanning was employed ( P < .001).…”

Section: Introductionmentioning

confidence: 97%

The Effect of Performance Transparency on Adherence to Barcode Scanning During Order Preparation in an Adult Inpatient Satellite Pharmacy

et al. 2018

View full text Add to dashboard Cite

The aim of this study was to investigate the effect of performance transparency and individualized feedback on pharmacy technician compliance with barcode verification technology during inpatient order preparation. Methods: Following the incorporation of barcode scanning technology into the workflow of pharmacy staff, a multiphasic intervention was employed to promote its use. The intervention included verbal feedback and publically posting performance metrics to increase accountability. An interrupted time-series analysis was conducted to ascertain trends and levels in the percent of orders that were dispensed using barcode verification, before and after the study intervention. Analyses were conducted by shift and overall for pharmacy workers in a single satellite pharmacy. Results: A significant increase in percent scanned orders was observed immediately following the intervention in our analysis of all pharmacy workers (+14.4%; P = .045; 95% confidence interval [CI]: 0.35-28.4). In the analysis of each shift, statistically significant increases in percent scanned orders were observed immediately following the intervention for both the evening shift (+5.1%; P = .024; 95% CI: 0.70-9.6) and the night shift (+29.9%; P = .025; 95% CI: 3.9-55.9), but not the day shift (+2.6; P = .707; 95% CI: −11.1 to 16.2). Conclusion: Increasing transparency of individual and team performance metrics in conjunction with targeted feedback is an effective intervention to improve compliance with barcode scanning technology.

show abstract

“…De forma similar a la industria farmacéutica, cuando se trabaja en el sector hospitalario un error puede causar estragos en la vida de una persona, por lo que los sistemas de trazabilidad pueden ser encontrados en distintos sectores o procesos dentro de un hospital Wang et al (2016). implementan en un hospital un sistema de código de barras para apoyar con la medicación de los pacientes, con la finalidad de aumentar la seguridad de los pacientes y de reducir los errores del personal, esto debido a que son muchos paciente que cada doctor y enfermero atiende diariamente, lo que puede provocar confusión de las instrucciones para cada uno de ellos.…”

unclassified

Ventajas del uso de sistemas de trazabilidad electrónica en procesos de manufactura

2020

View full text Add to dashboard Cite

El objetivo del estudio es desarrollar una metodología de mejora para un proceso de producción de arneses automotrices mediante la implementación de un sistema de monitoreo electrónico por código de barras, que permita obtener la trazabilidad de los productos procesados e identificar el origen, o causa raíz de los problemas de calidad. La metodología consta de un diagnóstico previo del área, el desarrollo y pruebas del programa, la implementación del sistema dentro del área, así como la capacitación del personal involucrado. Se encontraron los principales defectos del área de inyección de espuma, y con ayuda del sistema de trazabilidad se logró identificar las causas raíz de los mismos, por lo que se tomaron acciones específicas. Después de tres meses de implementación se redujo en 15% el porcentaje del principal defecto encontrado.

show abstract

Comparison of barcode scanning by pharmacy technicians and pharmacists’ visual checks for final product verification

Abstract: The use of pharmacy technician barcode checking is a safe alternative to a pharmacist's visual check and, in appropriate cases, can allow reallocation of pharmacist time to clinically oriented patient care services.

Cited by 16 publications

References 8 publications

Interventions to decrease the incidence of dispensing errors in hospital pharmacy: a systematic review and meta‐analysis

Interventions to decrease the incidence of dispensing errors in hospital pharmacy: a systematic review and meta‐analysis

The Effect of Performance Transparency on Adherence to Barcode Scanning During Order Preparation in an Adult Inpatient Satellite Pharmacy

Ventajas del uso de sistemas de trazabilidad electrónica en procesos de manufactura

Contact Info

Product

Resources

About