medication errors
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 …
Meds safety reminder for pharmacists, patients
Pharmacy bodies reiterate importance of medicine safety, especially in the wake of the COVID-19 pandemic The PSA and SHPA are celebrating the World Health Organisation’s World Patient Safety Day today …
‘It is better to receive a complaint regarding wait times than a medication error.’
Fatigue, poor environmental conditions and staff shortages can lead to medication errors… PDL Professional Officer Jess Hadley shares her tips for pharmacists this World Patient Safety Day 2022 Today (Saturday …
Be alert with varicella vaccines
Mixups with varicella vaccines have been reported to PDL lately, especially confusion between chickenpox and shingles jabs PDL has recently received several incident reports where the incorrect varicella vaccine has …
Pharmacist’s script warning overlooked
A pharmacist’s caution about two concurrently prescribed medicines went unnoticed in a woman who died, with an inquest exploring what role the error may have played in her death A …
Five of the most common errors
“Pharmacy is a risky business, and the stakes are incredibly high”: expert reveals the most reported types of pharmacy incidents in Australia Managing risk is key to improving medication safety …
Multiple issues put patients at risk of serious harm: Council
Pharmacy council pulls up compounders on risk assessments, with recent matters involving phentermine and clonidine The Pharmacy Council of NSW has warned of recent issues related to pharmacists and compounding. …
Uptick in vaccine-related incidents
Heads-up to pharmacists after errors see COVID-19 AstraZeneca vaccinations inadvertently administered to people expecting Pfizer or flu shots, or to underage patients Community pharmacists have been reminded of their responsibilities …
20mg instead of 2mg of hydromorphone
A coroner has criticised the “shocking lack of attention” that led to a man receiving 10 times the prescribed amount of hydromorphone Medication errors have been highlighted in recent coroner’s …