November 26, 2018

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 […]
November 19, 2018

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 […]
October 29, 2018

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 […]
October 15, 2018

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 […]
October 8, 2018

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 […]
September 24, 2018

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 […]
September 17, 2018

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 […]
September 10, 2018

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 […]
September 3, 2018

Reducing Medication Errors

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 […]
August 6, 2018

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 […]
July 9, 2018

Assessing Causation: Disease or Drug?

Assessing cause and effect can often be challenging in a medical malpractice case. However, when the suspected cause involves a medication, the analysis is typically straightforward. […]