medication errors
‘High risk, high stakes’: Errors involving children
Pharmacists share shocking case studies, with one seeing up to 1000-times dose errors for clonidine while another witnessed a child develop opioid dependency Leading pharmacists are warning the profession to …
Task overload and distraction contribute to medication errors: study
A new review has found mental conditions, communication failures and inadequate supervision can lead to medication errors… but which risk factor leads the pack? Issues with communication, coordination and planning …
Human error, alarm fatigue contributed to insulin death
Multiple factors including use of EMRs found in coroner’s case involving a medication administration error that led to a woman’s death A coroner has called for changes to an electronic …
AI a ‘game-changer’ for compounding services
Hospital pharmacy turns to AI system to improve medicines safety as demand for compounded medicines grows St Vincent’s Hospital Melbourne is set to expand its use of an AI solution …
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 …