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