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J Clin Outcomes Manage
2010 Mar;17(3):125-131
Adapting the bundles approach to reduce medication errors in pharmacy practice
Hauser DG, Young DA, Braitman LE
Abstract Objective: To describe a pharmacy process improvement program that used a “bundle” approach to reduce medication errors across an integrated network pharmacy system. Methods: A team of pharmacists, pharmacy managers, and pharmacy technicians developed and implemented a 4-step pharmacy practice bundle that added levels of verification and checking during the computer order entry and dispensing phases of the medication use process. Results: Medication errors were monitored monthly for the year before and the year following introduction of the bundles project. Following the bundle implementation, rates of medication order entry errors decreased by 48% (P < 0.001), pharmacy dispensing errors decreased by 48% (P < 0.008), and high alert–related medication errors within these categories decreased by 40% (P = 0.056). Conclusion: The pharmacy practice bundle successfully reduced the rates of medication errors in our network.
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