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Total quality management in action: pharmacy system changes to decrease medication incidents and increase clinical

N R Shah1, A J Emont, V P Johnson

  • 1General Hospital Center at Passaic, NJ 07055.

Hospital Pharmacy
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

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A "roving pharmacist" system significantly reduced medication incidents by 63% between 1990 and 1993. This intervention targeted the transcription system to improve medication safety and reporting.

Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Medication error analysis

Background:

  • Monitoring of risk management indicators revealed an increasing trend in medication incidents from 1987 to 1990.
  • This trend highlighted a critical need to address systemic issues within the medication management process.

Purpose of the Study:

  • To identify and implement corrective actions to reduce the rate of medication incidents.
  • To evaluate the effectiveness of a newly devised intervention on medication error rates.

Main Methods:

  • The medication ordering process was analyzed using a flowchart.
  • An interdisciplinary team identified the transcription system as a key area for intervention.
  • A "roving pharmacist" system was implemented as a corrective action.

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Main Results:

  • The implementation of the "roving pharmacist" system led to a significant decrease in reported medication incidents.
  • A 63% reduction in the medication incident rate was observed between 1990 and 1993.

Conclusions:

  • The "roving pharmacist" system proved effective in mitigating medication errors.
  • Targeted interventions in medication transcription systems can substantially improve patient safety and reduce incident rates.