Dutch doctors call for action on drug safetyBMJ 2006; 333 doi: https://doi.org/10.1136/bmj.39059.629120.DB (Published 14 December 2006) Cite this as: BMJ 2006;333:1238
All rapid responses
It is really alarming to note that there are potential ADRS
which can go unnoticed.
A cost effective system can be devised in the following manner:
1. The Inpatients indents should be screened at the pharmacy for any
errors and crosschecked with patients Drug Chart.
This can be done by Clinical Pharmacists who are trained for the
In India it was noticed in a hospital in South India that screens all
the indents 24 hours , A Pattern was emerging where the medication errors
are mostly restricted to the transcription of Drug Names into the computer
. The problem has reduced by making the nurses ask the pharmacists and
crosscheck the names match the computer drop down list before keying in if
there is a doubt.
Reduction of transcription error enhances safety.
2. Also inside the pharmacy at the dispatch a seperate checking
counter is placed to check for dispensing errors of each package.
Filtering errors at the pharmacy will greatly reduce the ADRs.
3. Adding an allergy coloumn in the computer indent and incorporating
into the existing computer software to highlight an alert will also reduce
4. An Drug Interaction software can be incorporated with the existing
system where an indent containing potential life threatening drug
interaction which will cause ADRs can be identified and alert can be
highlighted by the system.
Recently I came across a study in UK where computerised Robotic
Dispensing has been found to reduce dispensing errors to some extent.
Eventhough it looks attractive the fabrication cost would be huge on the
Its better to have a human touch in dispensing and administering
Competing interests: No competing interests