Bruce Way talks to Chi Tran, Senior Pharmacist, about common prescribing errors, medication interactions, and side-effects. Because medication prescribing errors are serious, yet preventable, we want you to learn how to avoid them. Furthermore, these errors significantly impact on patient care.
Common errors include, for example, failure to specify modified-release vs immediate-release formulations, transcription errors, electronic prescribing problems, and lack of concentration and focus.
In this podcast, we will also go through an example case to familiarise yourself with these common errors.
You will also learn about important factors, such as which patients are at a higher risk of medication errors? What are 3 drug interactions that most commonly cause problems?
Summary writer: Cynthia Yang
Editor: Bruce Way
Interviewee: Chi Tran
Chi Tran is a Senior Pharmacist in Projects at Prince of Wales Hospital. She studied pharmacy at Monash University (Victorian College of Pharmacy). Moreover, she has a particular interest in projects related to the quality use of medicines.
With Chi Tran, Senior Pharmacist, and Dr Bruce Way, Emergency Physician and Director of Prevocational Education and Training, at Prince of Wales Hospital, New South Wales, Australia
Medication prescribing errors are serious, yet preventable errors that significantly impact on patient care.
If there is any uncertainty, a ward pharmacist can be consulted.
An 87-year-old non-English speaking lady from home BIBA is admitted after an unwitnessed fall and long lie at home. She has suffered a fracture of the greater trochanter, awaiting orthopedeic review for potential surgery. She also suffered AKI secondary to dehydration and rhabdomyolysis and could only convey a part of her medications during ED.
You have just received the GP’s complete list of medications for the patient and asked to chart her regular medications: Avapro HCT for hypertension, aspirin, and warfarin (for metallic mitral valve), metformin for type 2 diabetes, atorvastatin for cardiovascular protection, pantoprazole for GORD, long term diazepam and fluoxetine initially prescribed for sleeping and anxiety. The patient’s warfarin dose for the day was withheld at ED in view of potential surgery. The INR just came back as 2.1.
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