We have had several medication ADS misfills due to technicians mixing up medications with several formulations:
- Bupropion XL, SR
- Metoprolol XL, ER
- Diltiazem CD, ER, LA
- Depakote
We have medication bins that label specific formulation along with how many times a day (ie. bupropion 100 mg SR 12 hour tablet vs bupropion 150 mg XL 24 hour tablet; see attached pictures below), yet the errors still continue. Unfortunately, we dont have a robust barcode scanning method because the Rx techs are not scanning each individual tablets when filling pyxis.
Was wondering what other hospitals are doing to in terms of labeling, alerting, or how you physically separate these confusing meds to prevent misfills?
thanks so much!