EVALUASI DAMPAK PENERAPAN AUTOMATED DISPENSING MACHINE TERHADAP DISPENSING ERROR DI FARMASI RAWAT JALAN INSTALASI FARMASI  RUMAH SAKIT BETHESDA YOGYKARTA

Purwoadi Sujatno; Rizaldy Taslim Pinzon; Andreasta Meliala

doi:10.24071/jpsc.00124

EVALUASI DAMPAK PENERAPAN AUTOMATED DISPENSING MACHINE TERHADAP DISPENSING ERROR DI FARMASI RAWAT JALAN INSTALASI FARMASI RUMAH SAKIT BETHESDA YOGYKARTA

Purwoadi Sujatno⁽¹⁾, Rizaldy Taslim Pinzon^(2*), Andreasta Meliala⁽³⁾,

(1) Student of Hospital Management Programe, Faculty of Medicine, Gadjah Mada University
(2) Duta Wacana Christian University School of Medicine/Bethesda Hospital Yogyakarta
(3) Hospital Management Programe, Faculty of Medicine, Gadjah Mada University
(*) Corresponding Author

Abstract

Dispensing error is not uncommon in the medication proccess. Otomatisation of outpatient pharmacy services decrease the incidence of dispensing error, as well as improving the efficiency of picking, packing and labeling process. Since August 2014 an automated dispensing machine was installed in outpatient pharmascy Bethesda Hospital Yogyakarta, integrated with electronic prescribing and hospital information system. The objective of the study was to evaluate the impact of automated dispensing machine on the dispensing error at outpatient pharmacy Services using before and after study method. The procentage of drugs deliver by automated dispensing machine at the third and sixth month of implementation was 46% and 59%. Failure mode and effeect analysis of dispensing process done before the implementation, and the integration with electronic prescription and hospital information system, as well as the development of smart pack is the key of successed. The average of medications picked after the implementation of automated dispensing machine was (37,915.33 3,160.12), higher than before implementation (36,812.67 2,890.81), but not significant. The average of dispensing error after implementation (15,67 6,28) was reduced significantly (p<0,05) than before (50.33 34.47). The most frequent type of dispensing error were wrong quantity dispensed, wrong drug dispensed and wrong strength dispensed. The implementation of automated dispensing machine significantly reduce the incidence of dispensing error. Further investigaation needed to know the incidence of dispesning error cause by the machine and manual and factors that influenced.

Keywords

automated dispensing machine; dispensing error

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References

Kohn, L.T., Corrigan, J., Donaldson, M.S., 2000. To err is human: building a safer health care system. National Academy of Sciences. Washington DC.

Gyllensten, G., Rehnberg, C., Jonsson, A.K., Petzold, M., Carlsten, A., Sundell, K.A., 2013. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open, 3:e002574.

Koo, E.M., Lee, W.K., Sararaks, S., Samad, A.A., Liew, S.M., Cheong, A.T., Ibrahim, M.Y., Su, S.H.C., Hanafiah, A.N.M., Maskon, K., Ismail, R., Hamid, M.A., 2012. Medical error in primary care clinics a cross sectional study. BMC Family Practice, 13,127.

Roughead, E.E., Semple, S.J., 2009. Medication safety in acute care in Australia: where are we now? Part I: review of the extent and causes of medication problems 2002-2008. Australia and New Zealand Health Policy, 6,18.

Flynn, E.A., Barker, K.N., Carnahan, B.J., 2003. National Observational Study of Prescription Dispensing Accuracy and Safety in 50 Pharmacies. Journal of the American Pharmaceutical Association, 43,2.

Beso, A., Franklin, B.D., Barber, N., 2005. The Frequency and Potential Causes of Dispensing Errors in A Hospital Pharmacy. Pharm World Sci, 27,182-90.

Sanchez, A.M.M., 2013. Incidence, type and causes of dispensing errors: a study from the community pharmacy. African Journal of Pharmacy and Pharmacology, 7(13),715-20.

Lakshmi, T.T., Keerthi, P., Debarshi, D., Niranjan, B.M., 2014. Recent trends in the usage of robotics in pharmacy. Indian Journal of Research in Pharmacy and Biotechnology, 2(1), 1038-43

Tsao, N.W., Lo, C., Babich, M., Shah, K., Bansback, N.J., 2014. Decentralized automated dispensing devices: systematic review of clinical and economic impacts in hospital. CJHP, 67(2), 138-48.

Ong, P.Y.S., Chen, L.L., Wong, J.A., Gunawan, Y., Goh, W.J., Tan, M.C., Lee, S.B., 2014. Evaluating the Impact of Drug Dispensing System on the Safety and Efficiency in a Singapore Outpatient Pharmacy. Innovation in pharmacy, 5(3),169

Beard, R.J., Smith, P., 2013. Integrated electronic prescribing and robotic dispensing: a case study. Springer Plus, 2, 295.

Fitzpatrick, R., Cooke, P., Southall, C., Kauldhar, K., Waters, P., 2005. Evaluation of an automated dispensing system in a hospital pharmacy dispensary. The Pharmaceutical Journal, 275, 763-5.

James, K.L., Barlow, D., McArtney, R., Hiom, S., Robert, D., Whittlesea, C., 2009. Incidence, type and causes of dispensing error: a review of the literature. International Journal of Pharmacy Practice, 17, 9-30.

DOI: https://doi.org/10.24071/jpsc.00124