A literature review of human factors and ergonomics within the pharmacy dispensing process

Research output: Contribution to journalLiterature review

Abstract

Background
Within healthcare, Human Factors explores the fit between people and their working environment to improve safety, performance and wellbeing. The pharmacy setting is an area of particular interest considering the high-risk nature of the work activities in relation to dispensing errors. Internationally, the pharmacy setting is experiencing significant workforce changes, including the introduction of pharmacy technicians performing accuracy checks, and the adoption of novel technologies such as automated dispensing.
Objective
A literature review was conducted to identify studies which have explored the pharmacy dispensing process from a Human Factors perspective.
Methods
The databases Medline, EMBASE and PsycINFO were searched on the 27th of November 2018. All study designs were eligible for inclusion from community and hospital settings. Key study findings were extracted and reported using a descriptive narrative synthesis method.
Results
Thirty-two studies were identified, with most published from 2010 onwards. The review identified that a myriad of aspects influence safety within the dispensing process; that the dispensing process is complex in nature and can be depicted in many different ways; and lastly, that deviations from intended practice appear commonplace. Most studies used two or more data collection sources, and various theories, models and frameworks were applied. Although the focus of all studies was within the wider domain of Human Factors, 14 studies did not explicitly refer to a Human Factors approach within the manuscript.
Conclusions
The complexity of the pharmacy dispensing setting suggests that adopting a Human Factors approach to explore this context is appropriate. Future Human Factors research should explore the implementation of new technology and services and focus on obtaining empirical evidence that adopting a Human Factors approach improves safety and/or efficiency within pharmacy practice. Clear guidance on how to apply the range of Human Factors approaches would help support such research and facilitate the development of sound theory.
LanguageEnglish
Number of pages9
JournalResearch in Social and Administrative Pharmacy
Early online date12 Aug 2019
DOIs
Publication statusE-pub ahead of print - 12 Aug 2019

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Human Engineering
Ergonomics
Human engineering
Safety
Technology
Manuscripts
Information Storage and Retrieval
Community Hospital
Research
Acoustic waves
Databases
Delivery of Health Care

Keywords

  • medication safety
  • workflow
  • risk
  • patient safety
  • socio-technical systems
  • healthcare technology

Cite this

@article{c6f9b52e519f4b96b3440908c049685d,
title = "A literature review of human factors and ergonomics within the pharmacy dispensing process",
abstract = "BackgroundWithin healthcare, Human Factors explores the fit between people and their working environment to improve safety, performance and wellbeing. The pharmacy setting is an area of particular interest considering the high-risk nature of the work activities in relation to dispensing errors. Internationally, the pharmacy setting is experiencing significant workforce changes, including the introduction of pharmacy technicians performing accuracy checks, and the adoption of novel technologies such as automated dispensing.ObjectiveA literature review was conducted to identify studies which have explored the pharmacy dispensing process from a Human Factors perspective.MethodsThe databases Medline, EMBASE and PsycINFO were searched on the 27th of November 2018. All study designs were eligible for inclusion from community and hospital settings. Key study findings were extracted and reported using a descriptive narrative synthesis method.ResultsThirty-two studies were identified, with most published from 2010 onwards. The review identified that a myriad of aspects influence safety within the dispensing process; that the dispensing process is complex in nature and can be depicted in many different ways; and lastly, that deviations from intended practice appear commonplace. Most studies used two or more data collection sources, and various theories, models and frameworks were applied. Although the focus of all studies was within the wider domain of Human Factors, 14 studies did not explicitly refer to a Human Factors approach within the manuscript.ConclusionsThe complexity of the pharmacy dispensing setting suggests that adopting a Human Factors approach to explore this context is appropriate. Future Human Factors research should explore the implementation of new technology and services and focus on obtaining empirical evidence that adopting a Human Factors approach improves safety and/or efficiency within pharmacy practice. Clear guidance on how to apply the range of Human Factors approaches would help support such research and facilitate the development of sound theory.",
keywords = "medication safety, workflow, risk, patient safety, socio-technical systems, healthcare technology",
author = "Weir, {Natalie M.} and Rosemary Newham and Marion Bennie",
year = "2019",
month = "8",
day = "12",
doi = "10.1016/j.sapharm.2019.08.029",
language = "English",
journal = "Research in Social and Administrative Pharmacy",
issn = "1551-7411",

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T1 - A literature review of human factors and ergonomics within the pharmacy dispensing process

AU - Weir, Natalie M.

AU - Newham, Rosemary

AU - Bennie, Marion

PY - 2019/8/12

Y1 - 2019/8/12

N2 - BackgroundWithin healthcare, Human Factors explores the fit between people and their working environment to improve safety, performance and wellbeing. The pharmacy setting is an area of particular interest considering the high-risk nature of the work activities in relation to dispensing errors. Internationally, the pharmacy setting is experiencing significant workforce changes, including the introduction of pharmacy technicians performing accuracy checks, and the adoption of novel technologies such as automated dispensing.ObjectiveA literature review was conducted to identify studies which have explored the pharmacy dispensing process from a Human Factors perspective.MethodsThe databases Medline, EMBASE and PsycINFO were searched on the 27th of November 2018. All study designs were eligible for inclusion from community and hospital settings. Key study findings were extracted and reported using a descriptive narrative synthesis method.ResultsThirty-two studies were identified, with most published from 2010 onwards. The review identified that a myriad of aspects influence safety within the dispensing process; that the dispensing process is complex in nature and can be depicted in many different ways; and lastly, that deviations from intended practice appear commonplace. Most studies used two or more data collection sources, and various theories, models and frameworks were applied. Although the focus of all studies was within the wider domain of Human Factors, 14 studies did not explicitly refer to a Human Factors approach within the manuscript.ConclusionsThe complexity of the pharmacy dispensing setting suggests that adopting a Human Factors approach to explore this context is appropriate. Future Human Factors research should explore the implementation of new technology and services and focus on obtaining empirical evidence that adopting a Human Factors approach improves safety and/or efficiency within pharmacy practice. Clear guidance on how to apply the range of Human Factors approaches would help support such research and facilitate the development of sound theory.

AB - BackgroundWithin healthcare, Human Factors explores the fit between people and their working environment to improve safety, performance and wellbeing. The pharmacy setting is an area of particular interest considering the high-risk nature of the work activities in relation to dispensing errors. Internationally, the pharmacy setting is experiencing significant workforce changes, including the introduction of pharmacy technicians performing accuracy checks, and the adoption of novel technologies such as automated dispensing.ObjectiveA literature review was conducted to identify studies which have explored the pharmacy dispensing process from a Human Factors perspective.MethodsThe databases Medline, EMBASE and PsycINFO were searched on the 27th of November 2018. All study designs were eligible for inclusion from community and hospital settings. Key study findings were extracted and reported using a descriptive narrative synthesis method.ResultsThirty-two studies were identified, with most published from 2010 onwards. The review identified that a myriad of aspects influence safety within the dispensing process; that the dispensing process is complex in nature and can be depicted in many different ways; and lastly, that deviations from intended practice appear commonplace. Most studies used two or more data collection sources, and various theories, models and frameworks were applied. Although the focus of all studies was within the wider domain of Human Factors, 14 studies did not explicitly refer to a Human Factors approach within the manuscript.ConclusionsThe complexity of the pharmacy dispensing setting suggests that adopting a Human Factors approach to explore this context is appropriate. Future Human Factors research should explore the implementation of new technology and services and focus on obtaining empirical evidence that adopting a Human Factors approach improves safety and/or efficiency within pharmacy practice. Clear guidance on how to apply the range of Human Factors approaches would help support such research and facilitate the development of sound theory.

KW - medication safety

KW - workflow

KW - risk

KW - patient safety

KW - socio-technical systems

KW - healthcare technology

U2 - 10.1016/j.sapharm.2019.08.029

DO - 10.1016/j.sapharm.2019.08.029

M3 - Literature review

JO - Research in Social and Administrative Pharmacy

T2 - Research in Social and Administrative Pharmacy

JF - Research in Social and Administrative Pharmacy

SN - 1551-7411

ER -