title: [Medication errors after hospitalisation due to multi-dose drug dispensing in the primary sector].
abstract: Multi-dose drug dispensing (MDDD) was introduced in Denmark in 2001 in order to minimize medication errors. In May 2010 44.500 Danish citizens received MDDD. We report two cases where MDDD in the primary sector led to medication errors after hospitalisation, the reason partly being difficulties in getting information on MDDD on admission, lack of knowledge on handling MDDD in hospital and inadequate communication between the primary and the secondary sector. These problems has until now been underestimated.
authors.affiliation: Klinisk Farmakologisk Afdeling, Bispebjerg Hospital, 2400 København NV, Denmark.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Lysen
authors.forename: Carsten
authors.initials: C
authors.lastname: Hendriksen
authors.forename: Mette Straarup
authors.initials: MS
authors.lastname: Faxholm
authors.forename: Lene Ørskov
authors.initials: LØ
authors.lastname: Reuther
mesh_terms: D000369:Aged, 80 and over; D018692:Antimanic Agents / Q000008:administration & dosage / Q000506:poisoning*; D050071:Bone Density Conservation Agents / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D016651:Lithium Carbonate / Q000009:adverse effects / Q000506:poisoning*; D050316:Medical Order Entry Systems; D008508:Medication Errors / Q000009:adverse effects* / Q000517:prevention & control; D008509:Medication Systems; D008875:Middle Aged; D010343:Patient Admission; D010351:Patient Discharge; D019338:Polypharmacy; D011320:Primary Health Care; D014807:Vitamin D / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D018692:Antimanic Agents; D050071:Bone Density Conservation Agents; D014807:Vitamin D; D016651:Lithium Carbonate