The survey contained 93 items grouped into 14 core processes. To determine the degree of implementation of recommended safety practices in the design and use of automated medication dispensing cabinets (ADCs) in Spanish hospitals.Ī descriptive study based on completion of the "Self- Evaluation Survey on the Safety of Automated Medication Dispensing Systems" from to, at voluntarily participating hospitals. The key factors contributing to inadvertent overdosage in inpatient settings include a lack of recognition of recommended maximum daily dosages failure to optimally communicate medication information at transitions of care failure to optimally implement medication safety technologies, particularly dose accumulator calculation features and associated alerts and alert fatigue and override. #LIONVILLE 600 MED CART MANUAL FULL#Recommendations to achieve optimal patient safety outcomes include the adoption and integration of available technologies with full functionality configured to meet the institution's policies and processes, initial training and retraining of all staff who use these systems, continuing education of the patient care staff on the dosing safety requirements, and assigning a prominent role to the clinical pharmacist in the entire drug-use and reconciliation process. Required are staff training and the implementation of processes that provide guidance and documentation of the drug reconciliation process from admittance to discharge for safe patient passage through the various transitions of care. The tools needed to monitor and employ dose alerts, accumulators, and warning systems are available to reduce inadvertent overdose. ADCs appear to increase efficiency in the medication process and should therefore improve the quality of care.īest practices and guidance are provided for improved electronic detection and alerting of inadvertent supratherapeutic cumulative doses of acetaminophen and other medications with narrow therapeutic ranges in inpatient settings.ĭespite the use of medication safety technologies, overdosage and associated sentinel events continue to be serious problems in many inpatient settings. The nurses' perceptions of and levels of satisfaction with the ADC system were very good over the 6 months after complete implementation and integration at HH and NCCCR. The overall satisfaction rate (either "very satisfied" or "satisfied") for the two hospitals was 91 %. Eighty seven percent (n = 349) nurses agreed that they were able to administer medication more efficiently with the ADC system. Ninety-four percent (n = 378) of nurses agreed that the medication delivery system allowed them to do their job more safely, and 90 % (n = 363) nurses agreed that they now spent less time waiting for medication from the pharmacy than they did before the ADC system was introduced. No significant difference was found in perception scores between the two institutions (p = 0.06). The survey response rate was 80 % (n = 403). The self-administered survey was distributed to 503 nurses working at HH and NCCCR over three weeks using Survey Monkey®. The questionnaire consisted of four parts: nurses' sociodemographic and practice characteristics, 21 questions about their perceptions, one question about their overall satisfaction, and one about the system's ease of use. The purpose of this study was to assess nurses' perceptions of and satisfaction with the use of ADCs at HH and NCCCR.Ī cross-sectional study was conducted in the two institutions in May and November 2012 using a piloted, validated, online, and anonymous questionnaire. These medication distribution systems provide computer-controlled storage, dispensing, and tracking of drugs at the point of care in patient care units. Automated dispensing cabinets (ADCs) were introduced in 20 at the Heart Hospital (HH) and National Center for Cancer Care and Research (NCCCR), both run by Hamad Medical Corporation in Qatar.
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