May 6, 2019

Serotonin Syndrome: A Case Review

  Previously we were asked to evaluate a 50 year old patient who was admitted for chest pain and SOB. The patient had a prior history […]
April 29, 2019

Corrective Actions to Reduce Medication Errors

Unfortunately we all make mistakes, even physicians. So when it comes down to the care of a patient it is important to take all appropriate measures […]
April 22, 2019

Are We Underreporting?

According to a July 2016 Pharmacy Times article by Alan Polnariev, PharmD, MS, CGP entitled Overcoming Obstacles to Medication Error Reporting (http://ow.ly/1RH330jqiWG), as of 2013 between […]
April 15, 2019

Mechanism of Action: Does it matter?

Understanding the mechanism of action (MOA) of a medication can prove beneficial in understanding how the drug will behave. It also helps determine the potential for […]
April 8, 2019

Med Error Tracking Programs

Most hospitals practice continuous quality improvement and therefore have some type of medication error program in place. In many instances, we find that hospitals have an […]
April 1, 2019

Assessing Causation in a Medical Malpractice Case

Medical malpractice case reviews can present a number of challenges to all parties. This is especially true with a expert witness. On occasion, an expert might […]
March 26, 2019

Medication Error Rates

According to ISMP, “A national or other regional medication error rate does not exist. It is not possible to establish a national medication error rate or […]
March 18, 2019

The Unforgivable Error

In order to reduce medication errors, it is essential that they first be identified and reported, a key component of Root Cause Analysis. This process helps […]
March 11, 2019

Assessing Probability

There are a number of methods used to assess the probability of an event resulting from medication administration. The Naranjo Scale is perhaps the most common […]
March 4, 2019

Serotonin Syndrome: Are we missing it?

Serotonin syndrome can often go overlooked even though it can be lifethreatening if not detected in time and properly treated. The condition is caused by excessive […]
February 25, 2019

Avoiding Medication Errors

An unfortunate part of healthcare involves medication errors which can occur during any phase of the distributive process. Healthcare providers are encouraged to practice Continuous Quality […]
February 18, 2019

Errors with Volume of Distribution

In my experiences with dosing, antibiotics tend to offer the greatest challenge, especially in septic patients. The reason this is a challenge is because septic patients […]
February 12, 2019

Revisiting Once Daily Dosing

  Recently we were asked to evaluate a patient  who was administered gentamicin 440 mg IV q24 hr. The patient received 5 doses prior to obtaining […]