February 19, 2020

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 […]
February 12, 2020

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 […]
January 29, 2020

The Swiss Cheese Model

The human error problem can be viewed in two ways: the person approach and the system approach. Each has its model of error causation and each […]
January 22, 2020

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 […]
January 15, 2020

Medication Error Reporting

“Between January and December 1990, the number of medication error reports received per month ranged from 73 to 141. In that year the number of errors […]
January 8, 2020

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 […]
December 27, 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 […]
December 20, 2019

First Dose Levels

In an effort to achieve accuracy, oftentimes clinicians are hesitant to check first dose peak and trough levels for aminoglycosides. The tendency is to obtain peak […]