June 10, 2019

Practical steps to reduce med errors

 By focusing on five key rules of medication therapy, clinicians can reduce the occurrence of medication errors and improve patient safety. These key rules include the […]
May 20, 2019

Medication Histories

Medication histories are important in preventing prescription errors and consequent risks to patients. Apart from preventing prescription errors, accurate medication histories are also useful in detecting […]
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 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 […]
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 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 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 […]
February 5, 2019

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 21, 2019

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 […]