Automated medication dispensing systems (AMDS) technology is increasingly b
eing implemented in health care facilities to reduce the risk of medication
errors. However, the case study evidence of their effectiveness has so far
been mixed. It has been suggested that the attitudes of nursing staff towa
rd AMDS can be an important factor in influencing whether or not the techno
logy will be successfully implemented. Nurses' attitudes toward AMDS were e
xamined at Riverview Health Centre, a long-term care facility where the Med
itrol automated dispensing system had been installed the previous year. It
was found that nurses were generally distrustful of AMDS and skeptical that
it had reduced medication errors. A number of technological, organizationa
l, and social factors has been put forward to explain this distrust. In add
ition, the efforts of hospital administrators to raise nurses' confidence i
n the system's reliability were also delineated.