Fecha de recepción: 02/03/2018 – Fecha de aceptación: 25/05/2018
Deliberal AP1,2, Pereira Menezes C2, Bueno D1,3,4
1 Programa de Pós-graduação em Assistência Farmacêutica – Universidade Federal do Rio Grande do Sul. Rio Grande do Sul (Brasil)
2 Hospital de Clínicas de Porto Alegre. Rio Grande do Sul (Brasil)
3 Departamento de Produção e Controle de Medicamentos – Faculdade de Farmácia – Universidade Federal do Rio Grande do Sul.
Rio Grande do Sul (Brasil)
4 Programa de Pós-graduação Ensino em Saúde – Faculdade de Medicina. Universidade Federal do Rio Grande do Sul. Rio Grande do Sul (Brasil)
Denise Bueno, Profª. Drª. w Departamento de Produção e Controle de Medicamentos. Universidade Federal do Rio Grande do Sul. Faculdade de Farmácia
w Avenida Ipiranga, 2752 w 90.610-000 Porto Alegre, RS (Brasil)
Introduction: There is strong evidence that the uses of technologies are important strategies for preventing drug-related errors. The use of automated dispensing cabinets is becoming more frequent in health organizations. One of the functionalities of automated dispensing cabinets is the override function, which allows access to certain drugs before the pharmacist’s review. This study aims to analyze the dispensed drugs in two automated dispensing cabinets, one of them with the override function activated and the other without the activated function.
Methods: A cross-sectional retrospective study, in 2016, in an university hospital. We analyzed 5,059 medications taken and prescribed in two automated dispensing cabinets (64 beds). The drugs were categorized and the database was created in the Excel 2013 program. The statistical analysis was performed with SPSS statistical software (version 18.0) for Windows and the chi-square test was used to compare the data found (p<0.001).
Results: In the automated dispensing cabinets without the override function activated 3,594 drugs were withdrawn and 1,465 drugs with the the override function activated. It was observed that 79.5% of the prescription drugs were withdrawn from the electronic dispensary without the “override” function activated. Regarding the automated dispensing cabinets with override function activated 2.9% of the medications were withdrawn above the prescribed amount and 3.0% of the medications withdrawn were for patients without electronic medical prescription.
Conclusion: It was verified that the use of the override function is related to withdrawal of medications without electronic medical prescription. Fragilities in the automated dispensing cabinets were observed without the override function activated too.
Key Words: Pharmacy service, hospital, automation, patient safety.