Drug Error Communication
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Communication And Medication Errors
& Pain Ophthalmology Periodontal Podiatry See All Specialties Newsletters Main Newsletter Archive Mastery Series Archive Therapy Series medication errors in nursing Archive Manage Your Subscriptions For Your Practice CME Clinician Mobile Apps For Your Patients Practice Management Prevention Safety Resources Featured Writers Articles Case Studies Clinical Gems Clinical Presentations medication errors statistics Disasters Averted Exclusive Interviews Polls Products Test Your Knowledge Videos Drug Lookup Tools Shop Login/Subscribe Home / Resources / Articles / Medication Errors: Is Communication the Key to Prevention? Medication Errors: Is Communication the Key to Prevention? June 14th, 2005 Share Facebook Twitter LinkedIn Do these sound all to familiar? A patient who was transferred from
Types Of Medication Errors
one hospital to another received a duplicate dose of insulin because the receiving nurse didn't know the medication had been given before transfer. The patient's medication history had not been provided to the receiving facility until several hours after the patient's arrival. Using the patient's handwritten list of medications taken at home, a physician misunderstood an entry for DESOGEN (ethinyl estradiol and desogestrel) and prescribed digoxin 0.25 mg daily. Later, a nurse discovered the error when she asked the patient why she was receiving digoxin. Shortly after admission, a patient became lightheaded and fell in the bathroom after a physician prescribed TOPROL XL (metoprolol extended-release) at a dose larger than she took at home. The patient required telemetry monitoring and hydration for 24 hours. A newly admitted patient with pulmonary hypertension had been receiving FLOLAN (epoprostenol) IV at home at 2.4 mL/hour. The physician prescribed Flolan at the same flow rate, but did not specify the concentration. The hospital used a concentration of 0.5 mg/100 mL
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Medication Errors In Hospitals
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Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520418/ Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListScand J Prim Health Carev.30(4); 2012 DecPMC3520418 Scand J Prim Health Care. 2012 Dec; 30(4): 234–240. Published online 2012 Dec. doi: 10.3109/02813432.2012.712021PMCID: PMC3520418Poor communication on patients’ medication error medication across health care levels leads to potentially harmful medication errorsKarin Frydenberg1,2,3 and Mette Brekke31Skreia Medical Center, Skreia, Norway2Department of Medicine, Innlandet Hospital Trust Gjøvik, Norway3Department of General Practice, Institute of Health and Society, University of Oslo, NorwayCorrespondence: Karin medication errors in Frydenberg, Skreia Medical Center, 2848 Skreia, Norway. E-mail: on.enilno@nierdyrfAuthor information ► Article notes ► Copyright and License information ►Received 2011 Oct 10; Accepted 2012 Jun 1.Copyright © 2012 Informa HealthcareThis article has been cited by other articles in PMC.AbstractObjectiveGeneral practitioners have a key role in updating their patients’ medication. Poor communication regarding patients’ drug use may easily occur when patients cross health care levels. We wanted to explore whether such inadequate communication leads to errors in patients’ medication on admission, during hospital stay, and after discharge, and whether these errors were potentially harmful.DesignExploratory case study of 30 patients.SettingGeneral practices in central Norway and medical ward of Innlandet Hospital Trust Gjøvik, Norway.Subjects30 patients urgently admitted to the medi