medication errors
A ‘very common’ incident
“Stop and think” before compounding medicines such as clonidine suspension, warns an expert, because it could save your patient’s life—and your career Errors during the preparation of compounded clonidine suspension …
Pharmacist could have flagged dosing error: report
Human error was behind an incorrect dose that played role in a man’s death—but an ED pharmacist and e-prescribing system could have picked it up, coroner finds An “inappropriate and …
New approach pitched to avoid discharge medication errors
Co-ordinated stewardship approach key to improving medications management during transitions of care, experts believe Adopting a collaborative “stewardship approach” to managing patients’ medications as they are transitioned out of hospital …
World News Wrapup: 28 March 2024
Pharmacy chain bans children from buying advanced anti-ageing skincare; diabetes medicine mixup sees Dublin woman suffer fatal seizure; proposed mifepristone restrictions in US Supreme Court Stockholm, Sweden: The Apotek Hjärtat …
What is second victim syndrome?
An Australian burnout expert discusses how second victim syndrome affects pharmacists, and what they can do to manage it In Pharmacy Today, published by the American Pharmacists Association, Michael D. …
Pharmacists cite concern over ‘blowback’
Fear of repercussions is a barrier to reporting medication errors, but safe reporting cultures can help, says professional officer A small qualitative study on medication error reporting has found that …
‘Really robust’ collaboration trial hoped to set standard
Researchers aim to help set collaborating prescribing practices as Australia’s expected standard of care, with a new project on reducing hospital medication errors Pharmacists are partnering with patients and doctors …
Reporting culture
A culture focusing on patient safety is essential, and the reporting of errors, near misses and concerns is a critical part of this. PDL has some tips for building a …
Wrong chart used in ACF, followed by patient’s death
Unsafe medication practices at a residential aged care facility were “significant,” a coroner says in findings into an elderly woman’s death The 81-year-old Queensland woman had several health conditions, including …
Protocols, resident empowerment highlighted following death
An aged care facility resident died after being given the wrong medication, during the transition from a paper-based to electronic system Chief clinical advisor to the Aged Care Quality and …
World news wrapup: 23 March 2023
Canadian pharmacist faked own Covid jab records; Irish pharmacist has rego cancelled due to opioid dependence and getting drugs on photocopied scripts; British peers speak out to support sector British …
Clonidine 10-fold overdose in a paediatric patient due to a compounding error
Bryanna Gillies presents a case history report with important lessons about compounding A five-year-old boy presented to a tertiary paediatric emergency department on advice from the poisons centre, who received …