| The term "medication error" covers a | | | | Doing What Counts for Patient Safety: |
| whole manner of sins. What is a | | | | Federal Actions to Reduce Medical Errors |
| medication error? Perhaps it is better | | | | and Their Impact, February 2001, |
| to explain by providing examples of | | | | available at: |
| medication errors. | | | | So what can be done to prevent |
| Example A - your physician is aware you | | | | medication errors? |
| are allergic to a medication but | | | | 1. Keep an active record of all |
| prescribes it anyway; | | | | medications you are taking. Write it |
| Example B - Other medications you are | | | | down and provide copies to all |
| currently taking are contra-indications | | | | physicians. |
| to a new medication your physician just | | | | 2. Research any medication allergies. |
| prescribed, but she doesn't read the | | | | How do you know you are allergic? What |
| medication package insert and now you | | | | is the generic name of the drug to which |
| are taking medications which may prevent | | | | your are allergic - know it all. |
| the others from being effective, or | | | | 3. Tell your pharmacist about all |
| worse, their combination may cause | | | | medications you are taking. He may only |
| injury; | | | | have records of medications dispensed at |
| Example C - Medicine A can only be taken | | | | his pharmacy - so give them notice of |
| by people who can walk or are otherwise | | | | all medications. |
| mobile, and physician prescribes it for | | | | 4. Tell your family and provide them |
| his double amputee patient who cannot | | | | with a list of your medications. It is |
| get out of bed; | | | | likely that in an emergency you will not |
| Example D - Pharmacy receives a | | | | be able to speak for yourself. |
| prescription for medication A but fills | | | | 5. Speak to your physician - ask why she |
| your bottle with medication B; | | | | is prescribing each medication? What are |
| Example E - Pharmacy fills correct | | | | the side effects? Have you been on this |
| prescription but prints wrong dosing | | | | medication before? Keep a record. |
| directions so you are now taking the | | | | 6. Unsure about dosage? Unsure about |
| medication 9 times a day, rather than 3 | | | | combination with other medications? CALL |
| times per day ordered by your doctor. An | | | | YOUR PHYSICIAN… Call, and write down |
| overdose occurs causing injury. | | | | the name of who you spoke with and what |
| There are almost too many examples of | | | | they said. KEEP NOTES. |
| medication errors to list. And many | | | | The Federal Government has also produced |
| players in the health care field can | | | | a list of how to prevent medication |
| cause or fail to prevent medication | | | | errors. See What is recommended? Pretty |
| errors, from physicians, to nurses and | | | | similar list to ours - sadly, both lists |
| pharmacists. Medication errors are such | | | | are created for consumers and patients. |
| a big deal in health care today that the | | | | And it is important to note that it is |
| Federal Drug Administration (FDA) has | | | | not your duty to prevent all medication |
| been researching errors these errors | | | | errors. It is the duty of your |
| while attempting to create and implement | | | | healthcare provider to do so, but if |
| programs and rules which would prevent | | | | they fail, your diligence may be the |
| such errors. How is the FDA doing at | | | | difference between another preventable |
| minimizing these errors and the | | | | injury or death from a medication error |
| resulting needless injuries and deaths? | | | | and a close call. |
| Well, it must be a difficult challenge | | | | So please, be organized and diligent |
| because the FDA admits "Improving | | | | about your medications. And if you have |
| patient safety continues to be a | | | | had a medication error occur, and have |
| challenge." Final Summary of Food and | | | | suffered injury as a result, please do |
| Drug Administration (FDA) Action Items - | | | | not hesitate to contact our firm. |