2010/11/10

Medication errors cause

Medication errors cause

Medication errors that cause death that is not caused by negligence of doctors, nurses, pharmacists, but only caused by hospital management system inefficiencies. Approximately 1.3 million people are injured annually in the United States following so-called "medication errors". The National Coordinating Council for Medication Error Reporting and Prevention defines a medication error as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer...related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use."

2009/08/12

Weak point in Medical malpractice CASE

Weak point in Medical malpractice CASE


In all case focus on dead case or severe injury from malpractice.

The good question " The bad event that is malpractice isn't it?

If you or someone you love has been injured as the result of a medication error.

The good focus must be on false or malpractice procedure. Not Bad event or

someone who has injury. When you decided some case is malpractice?

You must be search incorrect treatment activity or lack of correct activity in

treatment plan not focus on bad event.

You must understand medical malpractice type.


Example of medical malpractice from drug error

  1. Drug overdose
  2. Contraindication
  3. Untreated indication or non adherence of clinical guideline
  4. Mis type drug
  5. Dose to low
  6. Inappropriate drug type selection

Keyword: Medical malpractice from drug error





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2009/07/22

Hot News: Great pharmacist can save lives of chronic patient have polypharmacy.

Hot News:
Great pharmacist can save lives of chronic patient have polypharmacy.


Effectiveness of telephone counselling by a pharmacist in reducing mortality in patients receiving polypharmacy: randomised controlled trial.

BMJ published 17 August 2006

The highlight of this study.

• Many drugs for chronic conditions—notably cardiovasculardisease—reduce morbidity and mortality in controlled clinical trial settings.
• Only half of patients who receive polypharmacy are fully compliant.3 4 Although interventions such as telephone or postal reminders from pharmacists improve compliance
• The pharmacist asked about the patient’s treatment regimens; clarified any misconceptions; explained the nature of any side effects; reminded patients of their next clinic appointment; and reinforced the importance of compliance with treatment and relevant aspects of self care, such as diet, exercise, and self monitoring.
• In this single centre, randomised, controlled study, telephone counselling by a pharmacist improved compliance, reduced mortality, and reduced use of healthcare resources in patients receiving polypharmacy.

The sane error non copliance of drug use by patient look like non adherence of clinical practice guidelines by doctor.
Not complete use solving by pharmacist can reduced 41 % of mortality rate
How about negative effectiveness by non adherence of clinical practice guidelines by doctor.
40% or 50% of mortality rate.

Mortality = dead = painful of family = not fair

Keyword: Medical malpractice from drug error




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Malpractice Article: Check your drug before bad news

Article: Check your drug before bad news

Common pitfall in drug therapy . You can avoid that by read Pill Book for drug information. You may be search drug information in www.drug.com . The main drug data you must be know are contraindication, indication, significant adverse drug reaction,dose and formal therapy plan in your disease. You must be know about ICD10 in your current disease and check clinical practice guidelines to confirm prescribing drug. If you see medication error consultant your pharmacist or me in this blog or frxbaby@yahoo.com.


List of outstanding medication error from malpractice
1. Over or under dose
2. Contraindication drug for you
3. Recurrent drug allergy
4. Non adherence of clinical practice guidelines by doctor
5. Lack of major information of main adverse drug reaction


Medication error can reflex the quality of care you must be protect your life from malpractice. When you see medication you must tell doctor and pharmacist to solving drug problem very soon.

Keyword: medical malpractice from drug error



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Article : Malpractice from Non adherence of clinical practice guidelines by doctor

Article : Malpractice from Non adherence of clinical practice guidelines by doctor

Some malpractice is common pitfall in medication error. Non adherence of clinical practice guidelines is common problem in treatment of chronic patient such as diabetes mellitus, myocardial infarction, heart failure, atrial fibrillation and chronic renal failure patient. Non adherence of clinical practice guidelines can increased mortality rate and hospitalization in many patient. When adverse event is occur in many patient first step you must be check clinical practice guidelines must be look like your prescription order of patient. If prescription order have not match with clinical practice guidelines. This situation may be malpractice of non adherence of clinical practice guidelines by doctor.

In myocardial in farction case or CAD case

Check 4 drug class.
1. Aspirin 75-325 mg per day
2. ACEI drug such as enalapril, ramiprill, captopril
3. Beta blocker drug such as atenolol, metaprolol, propranolol
4. Lipid lowering agent: statins drug group such as simvastatin, atrovastatin

You can check clinical practice guidelines in www.guidelines.org

Keyword: medical malpractice from drug error



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