Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Analysis of missing medication episodes in a unit dose system.

J G Kitrenos, K Gluc, M L Stotter

    Hospital Pharmacy
    |October 9, 1979
    PubMed
    Summary

    This study evaluated missing medication doses in a unit dose drug distribution system. Findings indicate that improved nurse training and interdepartmental communication can prevent medication errors.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Conversion of treatment from cefoxitin to ampicillin/sulbactam: experience in a university teaching hospital.

    Advances in therapy·1994
    Same author

    Medication cart-filling time, accuracy, and cost with an automated dispensing system.

    American journal of hospital pharmacy·1994
    Same author

    Clinical appropriateness, therapeutic equivalence, and cost of conversion of H2 antagonist therapy.

    Hospital formulary·1993
    Same author

    Use of refractometers to detect controlled-substance tampering.

    American journal of hospital pharmacy·1991
    Same author

    Pharmacist intervention program focused on i.v. ranitidine therapy.

    American journal of hospital pharmacy·1990
    Same author

    Clinical considerations and costs associated with formulary conversion from tobramycin to gentamicin.

    American journal of hospital pharmacy·1989

    Area of Science:

    • Pharmacy practice
    • Drug distribution systems
    • Medication safety

    Background:

    • The unit dose drug distribution system is crucial for accurate medication administration.
    • Identifying causes of missing doses is essential for improving patient safety and system efficiency.

    Purpose of the Study:

    • To evaluate the unit dose drug distribution system at Buffalo General Hospital.
    • To identify the causes of missing medication doses from administration carts.

    Main Methods:

    • Analysis of reported cases of missing medication doses.
    • Documentation of the causes for missing doses when feasible.

    Main Results:

    • Thirty distinct causes for missing doses were identified.
    • Causes originated from nurse misuse of the system, interdepartmental communication issues, or oversight by nursing or pharmacy staff.

    Conclusions:

    • Enhancing nurse education on the unit dose system is recommended.
    • Improving communication between Pharmacy and Nursing departments is vital for patient care.
    • Awareness of potential errors can aid in preventing future medication discrepancies.

    Related Experiment Videos