Medication Error Statistics Fda
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Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal medication error statistics 2015 & Veterinary Cosmetics Tobacco Products For Consumers Home For Consumers Consumer medication errors statistics 2014 Updates Avoiding Medication Mistakes Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email examples of medication errors Print On This Page: Examples of Medication Errors FDA's Role NOTE: Go to "6 Tips to Avoid Medication Mistakes" for more easy steps you can follow. A
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medication error is any preventable event that may cause or lead to inappropriate medication use or harm to a patient. Since 2000, the Food and Drug Administration (FDA) has received more than 95,000 reports of medication errors. FDA reviews reports that come to MedWatch, the agency's adverse event reporting program. "These reports are voluntary, so how to prevent medication errors the number of actual medication errors is believed to be higher," says Carol Holquist, R.Ph., Director of the Division of Medication Error Prevention and Analysis in FDA's Center for Drug Evaluation and Research. FDA works with many partners to track medication errors, including the U.S. Pharmacopeia (USP) and the Institute for Safe Medication Practices (ISMP). "Every report received through the USP/ISMP Voluntary Medication Error Reporting Program (MERP) automatically gets sent to FDA's MedWatch program," says Mike Cohen, R.Ph., Sc.D., President of ISMP. "It takes a cooperative approach to monitor errors, evaluate them, and educate the public about strategies to keep errors from happening again." Medication errors occur for a variety of reasons. For example, miscommunication of drug orders can involve poor handwriting, confusion between drugs with similar names, poor packaging design, and confusion of metric or other dosing units. "Medication errors usually occur because of multiple, complex factors," says Holquist. "All parts of the health care system—including health professionals and patients&mda
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Contents Menu Drug Safety and Availability Medication Errors Drug Products Associated with Medication Errors Drug NameReasonAnzemetDosing errors, labelingBentylDosing errors, labelingBextra: Valdecoxib or bucindololDiscontinued http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048644.htm bucindolol phase III clinical trial, info comes up on internet searchBumetanide and NorepinephrineVial labels and caps make the two bottles look very similar.Durezol and DurasalSimilar-Sounding DrugsEdetate Disodium (marketed as Endrate and generic products)Patient given Edetate Disodium instead of Edetate Calcium Disodium (Calcium Disodium Versenate) or when http://www.fda.gov/drugs/drugsafety/medicationerrors/ucm286522.htm Edetate Disodium was used for "chelation therapies"Fleet Phospho-soda Dosing sizeFlomax and VolmaxLook alike, sound alike NamesForadil Aerolizer and Spiriva HandiHaler capsulesMisadministrationInsulin and HeparinSimilar-looking vials are often next to each other on a counter, a drug cart, or under a pharmacy IV admixture hood. Both drugs are dosed in units.KaeopectateReformulation, labelingKaletra (lopinavir/ritonavir) and Keppra (levetiracetam)Similar-Named DrugsKeppra/KaletraSound alike namesLanoxin/Levoxine Similar sounding, changed name to: LevoxylMaalox Total Relief and Maalox Liquid ProductsSimilar-Sounding DrugsMethadone/methylphenidate (Metadate)Dispensing errorNimodipine oral capsulesRoute of administration -- medication should never be given by intravenous administrationOpium tincture/paregoricDrug names, DTO abbreviationReminyl and AmarylSimilar-Named Drugsrespiridone (risperdal) and ropinirole (Requip)Similarities of both the brand (proprietary) and generic (established) names and container/carton packaging.Roxanol (morphine sulfate) Concentrated Oral SolutionMorphine oral solutions ordered in milligrams (mg) were mistakenly interchanged for milliliters (mL) of the productTaxotere, Taxol Similar named drugsTemodarDosage/label designTransdermal patchesPatch designZantac and Zy
Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products For Consumers http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048644.htm Home For Consumers Consumer Updates Avoiding Medication Mistakes Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print On This Page: Examples of Medication Errors FDA's Role NOTE: http://www.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentResources/DrugInteractionsLabeling/ucm110632.htm Go to "6 Tips to Avoid Medication Mistakes" for more easy steps you can follow. A medication error is any preventable event that may cause or lead to inappropriate medication medication error use or harm to a patient. Since 2000, the Food and Drug Administration (FDA) has received more than 95,000 reports of medication errors. FDA reviews reports that come to MedWatch, the agency's adverse event reporting program. "These reports are voluntary, so the number of actual medication errors is believed to be higher," says Carol Holquist, R.Ph., Director of the Division of medication error statistics Medication Error Prevention and Analysis in FDA's Center for Drug Evaluation and Research. FDA works with many partners to track medication errors, including the U.S. Pharmacopeia (USP) and the Institute for Safe Medication Practices (ISMP). "Every report received through the USP/ISMP Voluntary Medication Error Reporting Program (MERP) automatically gets sent to FDA's MedWatch program," says Mike Cohen, R.Ph., Sc.D., President of ISMP. "It takes a cooperative approach to monitor errors, evaluate them, and educate the public about strategies to keep errors from happening again." Medication errors occur for a variety of reasons. For example, miscommunication of drug orders can involve poor handwriting, confusion between drugs with similar names, poor packaging design, and confusion of metric or other dosing units. "Medication errors usually occur because of multiple, complex factors," says Holquist. "All parts of the health care system—including health professionals and patients—have a role to play in preventing medication errors." back to top Examples of Medication Errors Misuse of Tussionex Prescription Cough Medicine: On March 11, 2008, FDA informed health care professionals about adverse events and deaths in children and adults who ha
Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Drugs Home Drugs Development & Approval Process (Drugs) Development Resources Drug Interactions & Labeling Preventable Adverse Drug Reactions: A Focus on Drug Interactions Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print This learning module was developed based on a needs survey sent to all third year medicine clerkship directors and all medicine residency program directors in the United States. This module was developed by the Center for Education and Research on Therapeutics (CERT) while at Georgetown University (CERT now located at the University of Arizona Health Sciences Center) in collaboration with the Center for Drug Evaluation and Research at the Food and Drug Administration. The work was sponsored by the Agency for Healthcare Research and Quality (AHRQ). We encourage you to complete the Module Evaluation Form, as it will provide feedback for the development of future learning modules.Sample CaseADRs: Prevalence and IncidenceTypes of Drug InteractionsDrug MetabolismADR ReportingPreventing Drug InteractionsAcknowledgementsWelcome to the Adverse Drug Reaction (ADR) learning module. The module will begin with a presentation of a case that was published in 1990. This case demonstrates why it is important that health care practitioners report ADRs to the Food and Drug Administration (FDA). It was also a pivotal case resulting in recognition and definition of one type of preventable adverse drug reaction— drug interactions mediated by the cytochrome P450 pathway of drug metabolism.After discussing this case, we will discuss the prevalence and incidence of adverse drug reactions. We will then examine several well-recognized types of drug interactions that are the causes of preventable adverse reactions. This section will focus primarily on cytochrome P450-mediated drug interactions, although other types of interactions will also be included, as well as examples of drug-drug, drug-diet, and drug-herbal interactions. The emphasis will be on current knowledge that can help healthcare providers predict possible drug interactions. This will be followed by a discussion of ADR reporting via the FDA’s MedWatch program. Finally, a stepwise systems approach to preventing ADRs due to drug interactions will be outlined.Sample CaseThe first case we will consider is that of the potentially lethal arrhythmia, torsades de pointes, occurring in association with terfenadine (Seldane) use in a young woman.1This ECG is a classic example of tors