1. A Survey of Near-Miss Dispensing Errors in Hospital Pharmacies in Japan: DEPP-J Study—Multi-Center Prospective Observational Study
- Author
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Kenji, Momo, Takeo, Yasu, Seiichiro, Kuroda, Sonoe, Higashino, Eiko, Mitsugi, Hiromasa, Ishimaru, Kazumi, Goto, Atsuko, Eguchi, Kuniyoshi, Sato, Masahiro, Matsumoto, Takashi, Shiga, Hideki, Kobayashi, Reisuke, Seki, Mikako, Nakano, Yoshiki, Yashiro, Takuya, Nagata, Hiroshi, Yamazaki, Shou, Ishida, Naoki, Watanabe, Mihoko, Tagomori, Noboru, Sotoishi, Daisuke, Sato, Kengo, Kuroda, Dai, Harada, Hitoshi, Nagasawa, Takashi, Kawakubo, Yuta, Miyazawa, Kyoko, Aoyagi, Sachiko, Kanauchi, Kiyoshi, Okuyama, Satoshi, Kohsaka, Kohtaro, Ono, Yoshiyasu, Terayama, Hiroshi, Matsuzawa, and Mikio, Shirota
- Subjects
Pharmacies ,Pharmacology ,Japan ,Near Miss, Healthcare ,Humans ,Medication Errors ,Pharmaceutical Science ,Prospective Studies ,General Medicine ,Powders ,Pharmacists ,Hospitals - Abstract
The aim of this study was to determine the proportion of near-miss dispensing errors in hospital pharmacies in Japan. A prospective multi-center observational study was conducted between December 2018 and March 2019. The primary objective was to determine the proportion of near-miss dispensing errors in hospital pharmacy departments. The secondary objective was to determine the predictive factors for near-miss dispensing errors using multiple logistic regression analysis. The study was approved by the ethical committee at The Institute of Medical Sciences, University of Tokyo, Japan. A multi-center prospective observational study was conducted in 20 hospitals comprising 8862 beds. Across the 20 hospitals, we assessed data from 553 pharmacists and 53039 prescriptions. A near-miss dispensing error proportion of 0.87% (n = 461) was observed in the study. We found predictive factors for dispensing errors in day-time shifts: a higher number of drugs in a prescription, higher number of quantified drugs, such as liquid or powder formula, in a prescription, and higher number of topical agents in a prescription; but we did not observe for career experience level for clinical pharmacists. For night-time and weekend shifts, we observed a negative correlation of near-miss dispensing errors with clinical pharmacist experience level. We found an overall incidence of near-miss dispensing errors of 0.87%. Predictive factors for errors in night-time and weekend shifts was inexperienced pharmacists. We recommended that pharmacy managers should consider education or improved work flow to avoid near-miss dispensing errors by younger pharmacists, especially those working night or weekend shifts.
- Published
- 2022