I got this email on Friday:
"The following prescription(s) received in Order #"XXXXXXXXXXX on 11/19/2015 cannot be filled.
We can't fill one or more of your prescriptions because the drug was not available, and we have no approved alternative from your prescriber."
So helpful. I had no idea what this was for. Which medication, which doctor, which ailment.
So first I called the specialty mail order pharmacy (because some of my medications are 'special') and I can't look up those prescriptions on line. After dealing with the 'helpful' automated attended for far too long and two phone calls, I ended up with someone who told me it wasn't in that part of the specialty program. She tried to transfer me to the regular mail order department but I ended up in telephone limbo.
So I hung up and made call #3. The woman I spoke with put me on hold to research it and then when she picked the call back up, somehow I got disconnected.
So I hung up and made call #4. The man I spoke with told me that they couldn't fill it because the prescription came in without a medication on it. Very weird.
Even weirder was that it came in from a nurse practitioner in the dermatology department on Thursday where I had an appointment with another NP.
The more I think about this, the freakier it is. How did a prescription get to a pharmacy for me when it wasn't for me? I can only think that this someone didn't realize that they were logged into my account on their computer when they went to enter a prescription for someone else.
This is not a good thing. I will call them tomorrow to discuss this. There is no excuse for this. I know people are busy but when it is dealing with patients and medications, they need to double check what they are doing and make sure they are looking at the correct patient.
Just think if you were in the OR and they were looking at someone else's chart?
Showing posts with label medical errors. Show all posts
Showing posts with label medical errors. Show all posts
Aug 20, 2018
Feb 5, 2018
What happens when you are sleeping
I think we should all be allowed to have an independent person in the OR while we are undergoing surgery if this is any indiciation:
"About half of all surgeries involve some kind of medication error or unintended drug side effects, if a study done at one of America’s most prestigious academic medical centers is any indication."
That is just plain scary. You go for surgery and then you have a 50% chance of medication error or unintended side effect. That is not good.
"“There is a substantial potential for medication-related harm and a number of opportunities to improve safety,” according to the study, published in the journal Anesthesiology. More than one-third of the observed errors led to some kind of harm to the patient."
But these numbers are pretty real. A recent study was done at Massachusetts General Hospital by observers. Previous studies showed much lower numbers but those were self reported by doctors.
"Drugs delivered during an operation don’t have the same safeguards other medication orders do. In most parts of a hospital, prescriptions are double-checked by pharmacists and nurses before they reach a patient. Operating wards are riskier. “In the operating room, things happen very rapidly, and patients’ conditions change quickly, so we don’t have time to go through that whole process, which can take hours,” Nanji said. While all the errors observed in the study had the potential to cause harm, only three were considered life-threatening, and no patients died because of mistakes, Nanji said. In some cases, the harm lay in a change in vital signs or an elevated risk of infection."
A few more thoughts:
"Not every mistake meant the patient got the wrong drug or an incorrect dose. For example, many errors had to do with properly labeling drugs when they’re drawn into syringes for delivery. Because most medications just look like clear liquids, having several prepared without labeling them poses a risk that the wrong one could be delivered. Those breaches in protocol were counted as errors. In about one-fifth of the problems, adverse drug reactions were considered unavoidable — for example, if a patient had a drug allergy that doctors didn’t know about ahead of time. The study found that some kind of error was made in about one in every 20 drug administrations. Several medications are typically used in each operation, from anesthesia to antibiotics, so that rate translated into some kind of error or adverse reaction in every other surgery. Operations that lasted more than six hours were more likely to involve an error than shorter procedures."
Okay, I'm good with no more surgeries, thanks.
"About half of all surgeries involve some kind of medication error or unintended drug side effects, if a study done at one of America’s most prestigious academic medical centers is any indication."
That is just plain scary. You go for surgery and then you have a 50% chance of medication error or unintended side effect. That is not good.
"“There is a substantial potential for medication-related harm and a number of opportunities to improve safety,” according to the study, published in the journal Anesthesiology. More than one-third of the observed errors led to some kind of harm to the patient."
But these numbers are pretty real. A recent study was done at Massachusetts General Hospital by observers. Previous studies showed much lower numbers but those were self reported by doctors.
"Drugs delivered during an operation don’t have the same safeguards other medication orders do. In most parts of a hospital, prescriptions are double-checked by pharmacists and nurses before they reach a patient. Operating wards are riskier. “In the operating room, things happen very rapidly, and patients’ conditions change quickly, so we don’t have time to go through that whole process, which can take hours,” Nanji said. While all the errors observed in the study had the potential to cause harm, only three were considered life-threatening, and no patients died because of mistakes, Nanji said. In some cases, the harm lay in a change in vital signs or an elevated risk of infection."
A few more thoughts:
"Not every mistake meant the patient got the wrong drug or an incorrect dose. For example, many errors had to do with properly labeling drugs when they’re drawn into syringes for delivery. Because most medications just look like clear liquids, having several prepared without labeling them poses a risk that the wrong one could be delivered. Those breaches in protocol were counted as errors. In about one-fifth of the problems, adverse drug reactions were considered unavoidable — for example, if a patient had a drug allergy that doctors didn’t know about ahead of time. The study found that some kind of error was made in about one in every 20 drug administrations. Several medications are typically used in each operation, from anesthesia to antibiotics, so that rate translated into some kind of error or adverse reaction in every other surgery. Operations that lasted more than six hours were more likely to involve an error than shorter procedures."
Okay, I'm good with no more surgeries, thanks.