Faculty of Pharmacy, University of Helsinki, Finland.
J Am Pharm Assoc (2003). 2009 Sep-Oct;49(5):604-10. doi: 10.1331/JAPhA.2009.08075.
To assess the actions taken to manage dispensing errors, to investigate pharmacists' perceptions of ideal methods for managing dispensing errors, and to evaluate the reliability of in-house dispensing error reporting systems.
National cross-sectional survey.
Main outlets of all privately owned Finnish community pharmacies (n = 599) in March 2005.
Owners and operational managers of Finnish community pharmacies.
Mail survey containing structured and open-ended questions.
Current actions taken in the dispensing error managing process, pharmacist perceptions on the ideal ways of action to manage dispensing errors, and reported dispensing error rates.
340 participants responded to the survey (response rate 57%). Almost 90% of the responding outlets documented dispensing errors at least occasionally, 47% always documented, and 29% almost always documented. Discussion about dispensing errors was considered the most ideal method for managing dispensing errors in the pharmacy (76% of the respondents), followed by documenting them (45%). The error rate collected from in-house error reporting systems was 14 per 100,000 prescriptions dispensed in 2004.
Most Finnish community pharmacies have an in-house dispensing error reporting system, but reporting has not been fully implemented in all pharmacies. The actual error reporting in most Finnish community pharmacies is not reliable and needs further development and coordination. Discussing dispensing errors and documenting dispensing errors were reported as the most ideal methods for managing errors. Respondents indicated a hope that dispensing errors would be discussed more frequently with the whole staff. These findings demonstrate that Finnish community pharmacists are aware of some of the principles of managing dispensing errors based on the system approach and the benefits of error reporting systems in managing dispensing errors.
评估管理调配差错所采取的措施，调查药剂师对管理调配差错的理想方法的看法，并评估内部调配差错报告系统的可靠性。
全国性横断面调查。
2005 年 3 月所有私营芬兰社区药店的主要销售点（n = 599）。
芬兰社区药店的业主和运营经理。
邮寄调查，包含结构性和开放式问题。
调配差错管理过程中当前采取的措施、药剂师对管理调配差错的理想行动方法的看法以及报告的调配差错率。
340 名参与者对调查做出了回应（回应率 57%）。近 90%的参与药店偶尔会记录调配差错，47%的药店总是记录，29%的药店几乎总是记录。在药店中，讨论调配差错被认为是管理调配差错的最理想方法（76%的受访者），其次是记录差错（45%）。2004 年从内部差错报告系统收集到的差错率为每 10 万张处方 14 张。
大多数芬兰社区药店都有内部调配差错报告系统，但并非所有药店都已全面实施报告制度。大多数芬兰社区药店的实际差错报告并不可靠，需要进一步发展和协调。讨论调配差错和记录调配差错被报告为管理差错的最理想方法。受访者表示希望更频繁地与全体员工讨论调配差错。这些发现表明，芬兰社区药剂师已经意识到一些基于系统方法的管理调配差错的原则，以及差错报告系统在管理调配差错方面的益处。
