A Survey of Near-Miss Dispensing Errors in Hospital Pharmacies in Japan: DEPP-J Study -Multi-Center Prospective Observational Study-

被引：0

作者：

Momo, Kenji ^{[1
,2
]}

Yasu, Takeo ^{[2
,3
]}

Kuroda, Seiichiro ^{[2
]}

Higashino, Sonoe ^{[2
]}

Mitsugi, Eiko ^{[4
]}

Ishimaru, Hiromasa ^{[4
]}

Goto, Kazumi ^{[4
]}

Eguchi, Atsuko ^{[5
]}

Sato, Kuniyoshi ^{[5
]}

Matsumoto, Masahiro ^{[5
]}

Shiga, Takashi ^{[5
]}

Kobayashi, Hideki ^{[6
]}

Seki, Reisuke ^{[7
]}

Nakano, Mikako ^{[8
]}

Yashiro, Yoshiki ^{[9
]}

Nagata, Takuya ^{[9
]}

Yamazaki, Hiroshi ^{[10
]}

Ishida, Shou ^{[10
]}

Watanabe, Naoki ^{[11
]}

Tagomori, Mihoko ^{[12
]}

Sotoishi, Noboru ^{[12
]}

Sato, Daisuke ^{[13
]}

Kuroda, Kengo ^{[13
]}

Harada, Dai ^{[14
]}

Nagasawa, Hitoshi ^{[14
]}

Kawakubo, Takashi ^{[14
]}

Miyazawa, Yuta ^{[14
]}

Aoyagi, Kyoko ^{[15
]}

Kanauchi, Sachiko ^{[15
]}

Okuyama, Kiyoshi ^{[16
]}

Kohsaka, Satoshi ^{[16
]}

Ono, Kohtaro ^{[17
]}

Terayama, Yoshiyasu ^{[18
]}

Matsuzawa, Hiroshi ^{[18
]}

Shirota, Mikio ^{[8
]}

机构：

[1] Showa Univ, Dept Hosp Pharmaceut, Sch Pharm, 1-5-8 Hatanodai,Shinagawa Ku, Tokyo 1428555, Japan

[2] Univ Tokyo, Inst Med Sci Hosp, Dept Pharm, 4-6-1 Shirokanedai,Minato Ku, Tokyo 1088639, Japan

[3] Meiji Pharmaceut Univ, Pharmaceut Educ & Res Ctr, Dept Med Therapy Res, 2-522-1 Noshio, Kiyose, Tokyo 2048588, Japan

[4] St Lukes Int Hosp, Dept Pharm, 9-1 Akashi Cho,Chuo Ku, Tokyo 1048560, Japan

[5] Juntendo Univ Hosp, Dept Pharm, 3-1-3 Hongo,Bunkyo Ku, Tokyo 1138431, Japan

[6] Toho Univ, Dept Pharm, Ohashi Med Ctr, 2-22-36 Ohashi,Meguro Ku, Tokyo 1538515, Japan

[7] Kyorin Univ Hosp, Dept Pharm, 6-20-2 Shinkawa, Mitaka, Tokyo 1818611, Japan

[8] Tokyo Metropolitan Hiroo Gen Hosp, Dept Pharm, 2-34-10 Ebisu,Shibuya Ku, Tokyo 1500013, Japan

[9] Showa Univ, Dept Pharm, Koto Toyosu Hosp, 5-1-38 Toyosu,Koto Ku, Tokyo 1358577, Japan

[10] Minamitama Hosp, Dept Pharm, Med Corp Eiseikai Assoc, 3-10-1 Sanda Cho, Hachioji, Tokyo 1930832, Japan

[11] Yotsuya Med Cube, Dept Pharm, 7-7 Nibancho,Chiyoda Ku, Tokyo 1020084, Japan

[12] Tokyo Gen Hosp, Dept Pharm, 3-15-2 Egoda,Nakano Ku, Tokyo 1658906, Japan

[13] Koto Hosp, Dept Pharm, 6-8-5 Ojima,Koto Ku, Tokyo 1360072, Japan

[14] Jikei Univ Hosp, Dept Pharm, 3-19-18 Nishi Shinbashi,Minato Ku, Tokyo 1058471, Japan

[15] Nerima Gen Hosp, Tokyo Healthcare Fdn, Publ Interest Inc Fdn, Dept Pharm, 1-24-1 Asahigaoka,Nerima Ku, Tokyo 1768530, Japan

[16] Tokyo Med Univ, Pharm Div, Hachioji Med Ctr, 1163 Tatemachi, Hachioji, Tokyo 1930998, Japan

[17] Showa Univ Hosp, Dept Pharm, 1-5-8 Hatanodai,Shinagawa Ku, Tokyo 1428666, Japan

[18] Tokyo Metropolitan Toshima Hosp, Dept Pharm, 33-1 Sakaecho,Itabashi Ku, Tokyo 1730015, Japan

来源：

BIOLOGICAL & PHARMACEUTICAL BULLETIN | 2022年 / 45卷 / 10期

关键词：

pharmacy practice; dispensing error; pharmacist;

D O I：

暂无

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

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 nearmiss 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.

引用

页码：1489 / 1494

页数：6

共 11 条

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Watase, H.
Brown, I. I. I. C. A.
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Callcut, Rachael A.
Fox, Erin E.
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Holcomb, John B.
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Schreiber, Martin A.
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