Risk Factors in Pharmacy Practice on Dispensing Errors

Purpose: To identify factors in a pharmacy practice affecting dispensing errors based on those identified by Bond and Raehl.

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Evaluation

Are you evaluating a pharmacy practice for factors affecting dispensing errors?

Yes

Number of prescriptions filled per hour

Number of technicians managed per pharmacist

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Quality of overall environment (lighting, noise, space)

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High
Good
Fair
Poor

Level of distractions and interruptions

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Minimal
Mild
Moderate
High

Complexity of prescriptions

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Simple
Moderate
High
Very high

Job satifaction

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High
Good
Fair
Poor

Interest in professional development

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High
Moderate
Low
None or very low

Staffing level

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Very good
Good
Fair
Poor

Amount of clinical, non-dispensing service

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High
Moderate
Low
None

Experience

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High
Moderate
Some
Little or none

Level of training

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High
Good
Fair
Poor

Level of error-reducing automation

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High
Good
Little
None

Type of pharmacy

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Pharmacy chain
Mail service
Hospital
None

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of potential risk factors for dispensing errors identified

Should the pharmacy increase its efforts to detect and correct dispensing errors?

Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors

Therapy

Selection
- Risk Factors for Medication Errors in Intensive Care Unit (ICU)
Drug Interactions
- Risk Factors of Fialova et al for Inappropriate Medication Use in Elderly European Home Care Patients
Administration
- Prescription Abbreviations Associated with Dosage Errors
Failure Handling And Therapy Escalation
Prevention

Monitoring

Overdose And Reversal
- Risk Factors of Fialova et al for Inappropriate Medication Use in Elderly European Home Care Patients
- Classification for Providers Who Write Prescriptions for Controlled Substances
Failure Handling (loss To Followup, Etc)
- Classification for Providers Who Write Prescriptions for Controlled Substances

Societal Concerns

Economic Cost
- Reasons for Prescription Medications Being Wasted in Geriatric Outpatients
Public Health
- Methods That Drug-Impaired Healthcare Worker May Use to Divert Drugs

Specialty

Pharmacology, clinical

Objective

risk factors

ICD-10

T88.7 - Unspecified adverse effect of drug or medicament

Info

Purpose: To identify factors in a pharmacy practice affecting dispensing errors based on those identified by Bond and Raehl.

Specialty: Pharmacology, clinical

Objective: risk factors

ICD-10: T88.7,

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