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Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project.

Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. 2024;Epub Sep 24. doi:10.1016/j.jcjq.2024.08.006.

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October 23, 2024
Franciscovich CD, Bieniek A, Dunn K, et al. Jt Comm J Qual Patient Saf. 2024;Epub Sep 24.
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Automated dispensing cabinets (ADC) can improve efficiency in drug administration but pose risks when pharmacist approval is improperly or frequently overridden. This article describes a children's hospital's intervention to decrease ADC overrides in the peri-anesthesia care unit, with a secondary focus on midazolam overrides. The overall override rate decreased from 17% to 4% by the end of the 18-month project period, with a decrease from 22% to 3% for midazolam. While not an aim of the project, time to pharmacist verification also decreased, thus potentially lessening the need for overrides.

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Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. 2024;Epub Sep 24. doi:10.1016/j.jcjq.2024.08.006.