Sécurisation de la dispensation individuelle et nominative suite à l’implantation d’un automate de dispensation nominative : cartographie des risques a priori au sein d’une pharmacie à usage intérieur

Martı́nez, L.; Bloch, Vanessa; Jacob, A.; Iskra, F.; Barreteau, Hélène; Razurel, Anaïs

doi:10.1016/j.pharma.2018.05.004

Cited by 6 publications

(1 citation statement)

References 4 publications

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“…Nevertheless, new risks have been identified, such as fading ink on the packaging, device outages and other information technology issues. 27 Furthermore, late changes in the medication, carried out after automated patient specific drug dispensing, may expose the patient to medication errors. 17 23 Therefore, patient specific drug dispensing should be done daily or even more often for hospital ward patients, based on an up-to-date medication list.…”

Section: Effects On Medication Administration and Dispensing Errorsmentioning

confidence: 99%

Automated unit dose dispensing systems producing individually packaged and labelled drugs for inpatients: a systematic review

et al. 2021

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Objectives Pharmacy automation is increasing in hospitals. The aim of this systematic review was to identify and evaluate the literature on automated unit dose dispensing systems (UDDS) producing individually packaged and labelled drugs for inpatients. Methods The search was conducted on eight electronic databases, including Scopus, Medline Ovid, and Cinahl, and limited to peer reviewed articles with English abstracts published 2000-2020. Studies were included in the review if drug dispensing was performed by an automated UDDS where individually packaged and labelled unit doses were subsequently assembled patient specifically for inpatients. All outcomes related to UDDS functionality were included with specific interest in medication safety, cost-efficiency and stock management. Outcomes were categorised and results synthesised qualitatively. Results 664 publications were screened, one article identified manually, resulting in eight included articles. Outcomes of the studies were categorised as medication administration errors (MAEs), dispensing errors, costs and cost-effectiveness. Studies showed that automated UDDS reduced significantly MAEs of inpatients compared with traditional ward stock system (WSS), especially when UDs were dispensed patient specifically by unit dose dispensing robot. Patient specific drug dispensing with automated UDDS was very accurate. Of three different automated medication systems (AMSs), patient specific AMS (psAMS) was the most cost-effective and complex AMS (cAMS) the most expensive system across all error types due to the higher additional investments and operation costs of automated dispensing cabinets (ADCs). None of the studies investigated the impact on the medication management process such as efficiency, costs and stock management as primary outcome. Conclusions UDDS improved patient safety. However, automation is a costly investment and the implementation process is complex and time consuming. Further controlled studies are needed on the clinical and economical outcomes of automated UDDS to produce reliable knowledge for hospital decision makers on the cost-benefit of the investment and to support decision making.

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Section: Effects On Medication Administration and Dispensing Errorsmentioning

confidence: 99%

Automated unit dose dispensing systems producing individually packaged and labelled drugs for inpatients: a systematic review

et al. 2021

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Carnet de bord pour la mise en place d’une PUI territoriale assurant une dispensation nominative robotisée des traitements pour deux sites extérieurs : Un EHPAD et un SSR

Moine¹,

Jérome²,

Camps³

et al. 2022

Annales Pharmaceutiques Françaises

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Intégration d’un automate de dispensation nominative au sein d’une pharmacie à usage intérieure : analyse prospective de processus et mise en place de mesures correctives

Veyrier

Nicolas

Cavagna

et al. 2019

Le Pharmacien Hospitalier et Clinicien

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Sécurisation de la dispensation individuelle et nominative suite à l’implantation d’un automate de dispensation nominative : cartographie des risques a priori au sein d’une pharmacie à usage intérieur

Cited by 6 publications

References 4 publications

Automated unit dose dispensing systems producing individually packaged and labelled drugs for inpatients: a systematic review

Automated unit dose dispensing systems producing individually packaged and labelled drugs for inpatients: a systematic review

Carnet de bord pour la mise en place d’une PUI territoriale assurant une dispensation nominative robotisée des traitements pour deux sites extérieurs : Un EHPAD et un SSR

Intégration d’un automate de dispensation nominative au sein d’une pharmacie à usage intérieure : analyse prospective de processus et mise en place de mesures correctives

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