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| Newsletter Volume XXV, Number 1 Fall/Winter 2000/2001 COMPLAINT CORNER Allison Benz, R.Ph. Between September 1, 1999, and August 31, 2000, Fiscal Year 2000, the Board entered 43 disciplinary orders alleging that at least one error had occurred. After reviewing the orders entered in Fiscal Year 2000, the following statistics are applicable: 43 orders described 71 alleged dispensing errors; 37% of the orders involved more than one alleged error; 37% of the errors allegedly caused negative patient outcomes; and 25% of the errors allegedly involved pediatric prescriptions. The disciplinary orders included the following types of errors:
Approximately 27% of the 71 errors which resulted in disciplinary orders may have been detected (and thus prevented) if a pharmacist had verbally counseled a patient or patients agent. For example, errors involving the "wrong directions" can generally be detected if the pharmacist will be on the alert when reading the label directions to the patient. In addition, approximately 58% of the 71 errors may have been detected if the dispensing or consulting pharmacist had looked inside the prescription container and compared the contents to the drug name on the prescription label, before giving the prescription container to the patient or patients agent. Accordingly, the Board encourages pharmacists to read the drug name on the label and look inside the prescription container, before giving the medication to the patient/patients agent. Pharmacists are also encouraged to review errors that may have occurred in the pharmacy, evaluate their practice setting, and then make any changes necessary to prevent errors from occurring in the future. |
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