Medical Malpractice

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 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 […]
January 14, 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 […]
January 7, 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 […]
December 10, 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. […]
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 […]
November 5, 2018

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 […]
October 22, 2018

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 […]