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04060nas a22003377a 4500 |
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OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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20210326152831.0 |
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171219t2009 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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1888-6116 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Análisis de los fallos detectados en el proceso de dispensación de medicamentos y los factores contribuyentes = |
| Remainder of title |
Analysis of failures detected during the medication-dispensing process and their contributing factors / |
| Statement of responsibility, etc. |
Bermejo Vicedo T, Álvarez Díaz A Mª, Delgado Silveira E, Gómez de Salazar López de Silanes E, Pérez Menéndez-Conde C,<br/>Pintor Recuenco R, Serna Pérez J, Mendoza Jiménez T J |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p. 199 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Objetivo: Calcular la prevalencia de fallos en 5 sistemas de dispensación (SD) de medicamentos que producen errores<br/>de dispensación (ED) y factores contribuyentes (FC).<br/>Metodología: estudio observacional prospectivo. Se revisaron las etapas en 5 SD: Stock, SD automatizado (Pyxis®) con<br/>y sin Prescripción Electrónica Asistida (PEA), Sistema de Distribución de Medicamentos Dosis Unitaria (SDMDU) con PEA y SDMDU con transcripción. Se identificaron los ED, el fallo que produjo el error y posibles FC.<br/>Resultados: 2.181 fallos en 54.169 oportunidades. Tasa de fallo: Stock, 10,7%; Pyxis®-PEA, 2,9%; Pyxis® sin PEA, 20,7%; SDMDU-PEA, 2,2% y SDMDU-transcripción, 3,7%. Fallo más frecuente: Stock, fallo en preparación de pedido; Pyxis® con y sin PEA, fallo en llenado; SDMDU con PEA y SDMDU con trascripción, fallo en llenado de carro. ED más habitual: Stock, Pyxis® con y sin PEA, omisión; SDMDU con PEA, diferente cantidad de y SDMDU sin PEA, sobra medicamento. FC más frecuente: Stock, Pyxis® con y sin PEA, rotura de stock/desabastecimiento; SDMDU-PEA, personal inexperto y comunicación deficiente entre profesionales; SDMDU con transcripción, comunicación deficiente.<br/>Conclusión: Con este estudio hemos identificado los fallos de los SD, que permitirá rediseñar el proceso e incrementar<br/>la seguridad. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Objetive: To calculate the prevalence of failures in 5 medication-dispensing systems (DS) that cause dispensing errors<br/>and their contributing factors (CF).<br/>Methods: Prospective observational study. All the steps were reviewed in 5 DS: Stock, Automated dispensing systems<br/>(ADS) associated to Computerized Prescription Order Entry (CPOE ADS), no- CPOE ADS, CPOE Unitary-Dose dispensing systems (UDDS) and no-CPOE UDDS. Dispensing errors and their causing system-failure and the potential<br/>CFs were identified.<br/>Results: 2,181 failures were detected among 54,169 opportunities. Failure-rates were: Stock, 10.7%; CPOE ADS, 2.9%; no-CPOE ADS, 20.7%; CPOE UDDS, 2.2% and no-CPOE UDDS, 3.7%. The most frequent failure was: Stock, order preparation; CPOE ADS and no-CPOE ADS, ADS filling; CPOE UDDS and no-CPOE UDDS, unit dose cart filling. The most frequent dispensing error was: Stock, CPOE ADS and no-CPOE ADS, omission; CPOE UDDS, different amount of drug and no-CPOE UDDS, extra medication. The most frequent contributing factor was: Stock, CPOE ADS and no-CPOE ADS, stockout/supply problems; CPOE UDDS, inexperienced personnel and deficient communication between professionals; no-CPOE UDDS, deficient communication.<br/>Conclusions: In this study we have identified the failures in the DSs, which will let us redesign the process and increase<br/>the security |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
error medicación |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
error dispensación |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
sistema de distribución de medicamentos |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
proceso farmacoterapéutico |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
calidad |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
medication error |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
medication systems |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
hospital |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
quality assurance |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
health care |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2009, v. 20, 3, p.194-199 |
| Title |
Trauma |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| Uniform Resource Identifier |
<a href="http://www.mapfre.com/fundacion/html/revistas/trauma/v20n3/pdf/02_13.pdf">http://www.mapfre.com/fundacion/html/revistas/trauma/v20n3/pdf/02_13.pdf</a> |
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Acceso al documento |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
