Journals / Sağlık Akademisyenleri Dergisi / 2026 / Cilt: 6 Sayı: 2

A system in drug administration: The effect of Pyxis automation system on drug applications of nurses

İlaç yönetiminde bir sistem: Pyxis otomasyon sisteminin hemşirelerin ilaç uygulamalarına etkisi

Pages
100–104
Publication Date
2019-06-30
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It is recommended to test and disseminate the results resulting from the use of Pyxis Medstation and similar systems with evidence-based applications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction and Objectives: There are many application steps in the preparation of medicines for patient streated in the hospital and there is a high probability of error occurrence.
📊
Key Findings & Data:The high rate of drug errors has led to the development of many systems to reduce and prevent this rate.
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Conclusion & Impact:It is recommended to test and disseminate the results resulting from the use of Pyxis Medstation and similar systems with evidence-based applications.
🔬Design:Derleme
📍Scope:Comprehensive Sample
⚙️Variables:İlaç Güvenliği · Hasta Güvenliği · Otomatik Kontrol Sistemleri

Abstract

Introduction and Objectives: There are many application steps in the preparation of medicines for patient streated in the hospital and there is a high probability of error occurrence. Severe complications may occur, which may result in permanent disability or death, although the cost of drug errors is high. Effective and reliable use of drugs is a multidisciplinary practice that requires mutual communication and cooperation between patients, nurses, physicians and pharmacists. The high rate of drug errors has led to the development of many systems to reduce and prevent this rate. The use of the drug during the drug application, the effect of reducing drug errors and how the nurses can benefit from this system in the process of drug application is explained in thelight of the literature is explained. Results: Pyxis Medstation, are safe stores located through out the patient care areas. This system allows the nurses to reduce the workload, to apply the drugs on time, to provide Access to only one drug in narcotic drugs with one Access drawer feature, and to prevent the wrong drug intake. These automated systems used in the distribution of dose dose medicine sand materials, we are confronted. Conclusion: Pyxis Medstation is just one of these systems, and it is thought that the use of it in clinical practice reduces drug error sand contributes to nursing practice. It is recommended to test and disseminate the results resulting from the use of Pyxis Medstation and similar systems with evidence-based applications.

Özet

Giriş ve Amaç: Hastanede tedavi gören hastaların ilaçlarının hazırlanmasında çok sayıda uygulama adımı vardır ve hata oluşma olasılığı fazladır. İlaç hatalarının maliyeti yüksek olmakla birlikte kalıcı sakatlık veya ölüm ile sonuçlanabilen ciddi komplikasyonlar gelişebilir. İlaçların etkili ve güvenilir bir şekilde kullanılması, hasta, hemşire, hekim ve eczacının karşılıklı iletişim ve iş birliğini gerektiren multidisipliner bir uygulamadır. İlaç hatası oranlarının yüksek olması beraberinde bu oranı azaltmak ve önlemek için çok sayıda sistem geliştirilmesine neden olmuştur. Bu derlemede Pyxis Medstation sisteminin; ilaç uygulama sürecinde kullanımı, ilaç hatalarını azaltmadaki etkisi ve hemşirelerin ilaç uygulama sürecinde bu sistemden nasıl yararlanabileceği literatür ışığında incelenerek açıklanmıştır. Bulgular: Pyxis Medstation, hasta bakım alanları boyunca bulunan güvenli depolardır. Bu sistem hemşirelerin iş yükünün azalmasına, ilaçların zamanında uygulanmasına, tek erişimli çekmece özelliği ile narkotik ilaçlarda sadece bir ilaca erişim sağlamasına, yanlış ilaç alımını engellemesine olanak sağlar. Birim doz ilaç ve malzeme dağıtımında kullanılan bu otomatik sistemler, hasta güvenliğini artıran, tasarruf sağlayan sistemler olarak karşımıza çıkmaktadır. Sonuç: Pyxis Medstation bu sistemlerden sadece biridir ve klinik uygulamada kullanımının ilaç hatalarını azalttığı ve hemşirelik uygulamalarına katkı sağladığı düşünülmektedir. Pyxis Medstation ve benzer sistemlerin kullanımlarından kaynaklanan sonuçların kanıta dayalı uygulamalarla test edilmesi ve yaygınlaştırılması önerilmektedir.

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Cite This Article

Eraydın, C., Tezcan, B., Koç, Z. (2019). A system in drug administration: The effect of Pyxis automation system on drug applications of nurses. Sağlık Akademisyenleri Dergisi, Cilt: 6 Sayı: 2, 100–104. https://ajindex.com/articles/1538874

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References (2)

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Medication errors: why they happen, and how they can be prevented. Journal of infusion nursing: the official publication of the Infusion Nurses Society. 2005;28(2 Suppl):14-24.7- Aronson JK. Medication errors: what they are, how they happen, and how to avoid them. QJM: An International Journal of Medicine. 2009;102(8):513-21.8- Avşar G, Çiftçi B. Hemşirelerin Oral İlaç Uygulamalarına İlişkin Bilgi ve Uygulamalarının Değerlendirilmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014;3(2):710-722.9- Luk LA, Ng WIM, Ko KKS, Ung VH. Nursing Management of Medication Errors. Nursing Ethics. 2008;15(1):28-39.10- Edwards S, Axe S. The 10 ‘R's of safe multidisciplinary drug administration. Nurse Prescribing. 2015;13(8):398-406.11- Darwesh BM, Machudo YS, John S.The experience of using an automated dispensing system to improve medication safety and management at King Abdul Aziz University Hospital. Journal of Pharmacy Practice and Community Medicine. 2017;3(3):114-119.12- Bonnabry P.Information technologies for the prevention of medication errors. CHIMIA International Journal for Chemistry. 2005;59(6):359-361.13- Ueal O. An evaluation of robotics in nursing homes to reduce adverse drug events. college of management and technology, Walden University. Degree of Doctor of Philosophy.201614- Hodgkinson B, Koch S, Nay R, Nichols K. Strategies to reduce medication errors with reference to older adults. International journal of evidence-based healthcare. 2006;4(1):2-41.15- Berdot S, Roudot M, Schramm C, Katsahian S, Durieux P, Sabatier B. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review and meta-analysis. International journal of nursing studies. 2016;53:342-50.16- Mandrack M, Cohen MR, Featherling J, Gellner L, Judd K, Kienle PC, et al. Nursing best practices using automated dispensing cabinets: nurses' key role in improving medication safety. Medsurg nursing: official journal of the Academy of Medical-Surgical Nurses. 2012;21(3):134-9, 44.17- KıranB. Dünyada ve Türkiye’de ilaç otomasyon sistemlerinin incelenmesi. Yüklenim Kamu İlaç Tedarikçileri Derneği. 2014;14:7-11. Url: http://www.kitder.com.tr/files/YUKLENIM_14.pdf Erişim tarihi: 01.01.201818- Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. International journal of medical informatics. 2007;76 Suppl 1:S48-57.19- Szeinbach SL, Taylor RH, Gillenwater E. Automated dispensing technologies effect on managed care. Journal of Managed Care Pharmacy. 1995;1(2):121-127 20- Accordino S. Getting the most out of automated systems. Nursing Management. 2009;40(12):40-41.21- ASHP. American Society of Health-System Pharmacists ASHP guidelines on the safe use of automated dispensing devices. Am J Health-Syst Pharm. 2010 Url: https://www.ashp.org/-/media/assets/policy-guidelines/docs/guidelines/safe-use-of-automated-dispensingdevices.ashx?la=en&hash=EEB36D61A7B77380F2054D2C01A6F3EF30BE5597. Erişim tarihi:20.12.18.22- Fung EY, Leung B.Do automated dispensing machines improve patient safety? The Canadian journal of hospital pharmacy. 2009;62(6):516-519.23- Bates DW.Using information technology to reduce rates of medication errors in hospitals. BMJ. 2000;320(7237):788-791.24- Njeru JN. Nursing Approaches for Use and Sustainability of Barcode Medication Administration Technology College of Health Science. Walden University. 2017 Url:https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=5645&context=dissertationsErişim tarihi: 20.12.18.25- Murray MD. Automated Medication Dispensing Devices. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. K. G. Shojania, B. W. Duncan, K. M. McDonald and R. M. Wachter, University of California at San Francisco (UCSF)–Stanford University Evidence-based Practice Center:111. 2011. Url: https://www.ncbi.nlm.nih.gov/books/NBK133363/Erişim tarihi:20.12.18.26- Gaunt M. J., et al. "Automated dispensing cabinets." American Journal of Nursing 2007;107(8): 27-28.27- Olson BL. Automated dispensing cabinets: getting it right in the age of automation. Topics in Advanced Practice Nursing eJournal 2009. Url:http://consumermedsafety.org/Erişim tarihi: 12.10.201828- Grissinger M. Safeguards for Using and designing automated dispensing cabinets. P & T: a peer-reviewed journal for formulary management. 2012;37(9):490-530.29- Lynn P, Williams&Wilkins L. İlaç Uygulamaları. H.Bektaş, Taylor Klinik Hemşirelik Becerileri Bir Hemşirelik Yaklaşımı. 3. Baskı. Ankara: Nobel Akademik Yayıncılık,2015.30- Taxis K, Dean B,Barber N."Hospital drug distribution systems in the UK and Germany a study of medication errors. Pharmacy World and Scienc. 1999;21(1):25-31.31- Barker KN, Flyn EA, Pepper AG, Bates WD, Mikeal RL. Medication errors observed in 36 health care facilities. Archives of Internal Medicine.2002;162(16):1897-1903.
  2. Perras C, Jacobs P, Boucher M, Murphy G, Hope J, Lefebvre P.et al. Technologies to reduce errors in dispensing and administration of medication in hospitals: clinical and economic analyses. CADTH technology overviews. 2010;1(3):1-6.2- Johnson KF. U. S. Nursing Students' Perceptions of Safe Medication Administration Walden University; 2016.3- Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. International journal of clinical practice. 2011;65(7):733-40.4- Cottney A. Improving the safety and efficiency of nurse medication rounds through the introduction of an automated dispensing cabinet. BMJ Quality Improvement Reports. 2014;3(1):1-4.5- Khowaja K, Nizar R, Merchant RJ, Dias J, Bustamante-Gavino I, Malik A. A systematic approach of tracking and reporting medication errors at a tertiary care university hospital, Karachi, Pakistan. Therapeutics and clinical risk management. 2008;4(4):673-9.6- Hughes RG, Ortiz E. Medication errors: why they happen, and how they can be prevented. Journal of infusion nursing: the official publication of the Infusion Nurses Society. 2005;28(2 Suppl):14-24.7- Aronson JK. Medication errors: what they are, how they happen, and how to avoid them. QJM: An International Journal of Medicine. 2009;102(8):513-21.8- Avşar G, Çiftçi B. Hemşirelerin Oral İlaç Uygulamalarına İlişkin Bilgi ve Uygulamalarının Değerlendirilmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014;3(2):710-722.9- Luk LA, Ng WIM, Ko KKS, Ung VH. Nursing Management of Medication Errors. Nursing Ethics. 2008;15(1):28-39.10- Edwards S, Axe S. The 10 ‘R's of safe multidisciplinary drug administration. Nurse Prescribing. 2015;13(8):398-406.11- Darwesh BM, Machudo YS, John S.The experience of using an automated dispensing system to improve medication safety and management at King Abdul Aziz University Hospital. Journal of Pharmacy Practice and Community Medicine. 2017;3(3):114-119.12- Bonnabry P.Information technologies for the prevention of medication errors. CHIMIA International Journal for Chemistry. 2005;59(6):359-361.13- Ueal O. An evaluation of robotics in nursing homes to reduce adverse drug events. college of management and technology, Walden University. Degree of Doctor of Philosophy.201614- Hodgkinson B, Koch S, Nay R, Nichols K. Strategies to reduce medication errors with reference to older adults. International journal of evidence-based healthcare. 2006;4(1):2-41.15- Berdot S, Roudot M, Schramm C, Katsahian S, Durieux P, Sabatier B. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review and meta-analysis. International journal of nursing studies. 2016;53:342-50.16- Mandrack M, Cohen MR, Featherling J, Gellner L, Judd K, Kienle PC, et al. Nursing best practices using automated dispensing cabinets: nurses' key role in improving medication safety. Medsurg nursing: official journal of the Academy of Medical-Surgical Nurses. 2012;21(3):134-9, 44.17- KıranB. Dünyada ve Türkiye’de ilaç otomasyon sistemlerinin incelenmesi. Yüklenim Kamu İlaç Tedarikçileri Derneği. 2014;14:7-11. Url: http://www.kitder.com.tr/files/YUKLENIM_14.pdf Erişim tarihi: 01.01.201818- Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. International journal of medical informatics. 2007;76 Suppl 1:S48-57.19- Szeinbach SL, Taylor RH, Gillenwater E. Automated dispensing technologies effect on managed care. Journal of Managed Care Pharmacy. 1995;1(2):121-127 20- Accordino S. Getting the most out of automated systems. Nursing Management. 2009;40(12):40-41.21- ASHP. American Society of Health-System Pharmacists ASHP guidelines on the safe use of automated dispensing devices. Am J Health-Syst Pharm. 2010 Url: https://www.ashp.org/-/media/assets/policy-guidelines/docs/guidelines/safe-use-of-automated-dispensingdevices.ashx?la=en&hash=EEB36D61A7B77380F2054D2C01A6F3EF30BE5597. Erişim tarihi:20.12.18.22- Fung EY, Leung B.Do automated dispensing machines improve patient safety? The Canadian journal of hospital pharmacy. 2009;62(6):516-519.23- Bates DW.Using information technology to reduce rates of medication errors in hospitals. BMJ. 2000;320(7237):788-791.24- Njeru JN. Nursing Approaches for Use and Sustainability of Barcode Medication Administration Technology College of Health Science. Walden University. 2017 Url:https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=5645&context=dissertationsErişim tarihi: 20.12.18.25- Murray MD. Automated Medication Dispensing Devices. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. K. G. Shojania, B. W. Duncan, K. M. McDonald and R. M. Wachter, University of California at San Francisco (UCSF)–Stanford University Evidence-based Practice Center:111. 2011. Url: https://www.ncbi.nlm.nih.gov/books/NBK133363/Erişim tarihi:20.12.18.26- Gaunt M. J., et al. "Automated dispensing cabinets." American Journal of Nursing 2007;107(8): 27-28.27- Olson BL. Automated dispensing cabinets: getting it right in the age of automation. Topics in Advanced Practice Nursing eJournal 2009. Url:http://consumermedsafety.org/Erişim tarihi: 12.10.201828- Grissinger M. Safeguards for Using and designing automated dispensing cabinets. P & T: a peer-reviewed journal for formulary management. 2012;37(9):490-530.29- Lynn P, Williams&Wilkins L. İlaç Uygulamaları. H.Bektaş, Taylor Klinik Hemşirelik Becerileri Bir Hemşirelik Yaklaşımı. 3. Baskı. Ankara: Nobel Akademik Yayıncılık,2015.30- Taxis K, Dean B,Barber N."Hospital drug distribution systems in the UK and Germany a study of medication errors. Pharmacy World and Scienc. 1999;21(1):25-31.31- Barker KN, Flyn EA, Pepper AG, Bates WD, Mikeal RL. Medication errors observed in 36 health care facilities. Archives of Internal Medicine.2002;162(16):1897-1903.