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Related Experiment Videos

[Improved medicine lists with multi-dose packaging?].

Toril Bakken1, Jørund Straand

  • 1Sykehusapotekene ANS, Sykehusapoteket Aker, Trondheimsveien 235, 0514 Oslo. toril.bakken@apotek.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 24, 2003
PubMed
Summary

Multi-dose packed medicines did not improve medication accuracy compared to manual dispensing in Oslo community care. Significant disagreements between prescribed and dispensed medications were found with both methods, highlighting a need for improved record-keeping responsibility.

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Area of Science:

  • Pharmaceutical care
  • Medication management
  • Community health services

Background:

  • Community care services in Oslo utilize multi-dose packed medicines for select clients.
  • A quality improvement study was initiated to compare multi-dose packaging with manual dispensing.

Purpose of the Study:

  • To evaluate the quality of medication dispensing in community care.
  • To compare the accuracy of multi-dose packed medicines versus manually dispensed medicines.

Main Methods:

  • A comparative study involving 20 patients on multi-dose packaged medicines and 33 patients on manually dispensed medicines.
  • Disagreements between prescribed and dispensed daily medications were recorded for all participants.

Main Results:

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  • Overall, 23% of daily medicines had disagreements, affecting 58% of patients.
  • Multi-dose packaging showed 21% disagreement, while manual dispensing had 17% and 33% in two districts.
  • Medication information deficiencies were noted in 6% of daily doses.

Conclusions:

  • Medication dispensing errors are unacceptably high with both multi-dose packaging and manual methods.
  • Clearer responsibility for accurate patient medication records in community care is essential.