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Board reports 1,173 licensed ADDS units; QA submissions show 799 medication errors with underreporting from hospitals
Summary
The Board reported licensing and error reporting numbers for automated drug delivery systems (ADDS), found most reported errors originated in correctional facilities, and noted widespread underreporting from hospitals; staff proposed outreach and a standardized QA template.
The Committee reviewed a fiscal‑year report on automated drug delivery systems (ADDS) and related quality assurance (QA) reports at its June 11 meeting.
Janice Dang, chief of enforcement, told the committee the Board had licensed 1,173 ADDS across three license categories as of April 30, 2025: 1,169 ADDS in the primary category (facility ADDS located at skilled nursing facilities, medical offices, correctional facilities, adjacent to pharmacies, psychiatric facilities and other licensed locations), three clinic ADDS (ADC) and one ADE used by an emergency medical service to restock paramedic trucks.
Dang summarized errors reported…
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