Délivrance nominative centralisée automatisée : recueil et analyse sur 13 mois des non-conformités déclarées par les services de gériatrie au centre hospitalier universitaire de Toulouse

In 2010, after a first experience with an automated dispensing system bought in 2004, the hospital pharmacy acquired a new automaton. In parallel to the implementation of this tool, an evaluation of the quality of the service provided was conducted through the analysis of reported non conformities (NC). A systematic collection of NC reported by nursing staff was recorded in the care units supplied by the automaton. NC were studied over a 13-month period and classified into four categories: errors related to the unit-dose drug dispensing process and those unrelated to the process. Two thousand two hundred and seventy-five NC were analyzed, representing a total of 0.25 % of NC for all doses delivered during the period. Only 41.5 % of NC were considered to be related to the process of unit-dose drug dispensing. The average error rate found with the automaton was 0.10 % with a maximum rate of 0.16 %. Monthly monitoring of error rates has resulted in the identification and subsequent correction of various problems in the production chain.