Recently an NPR story http://www.npr.org/ * noted: “In the emergency department at Children’s Medical Center in Dallas, pharmacists who specialize in emergency medicine review each medication to make sure it’s the right one in the right dose. It’s part of the hospital’s efforts to cut down on medication errors and dangerous drug interactions, which contribute to more than 7,000 deaths across the country each year.”
“Medication errors can be caused by something as simple as bad handwriting, confusion between drugs with similar names, poor packaging design or confusion between metric or other dosing units, according to the Food and Drug Administration. But they’re often due to a combination of factors, which makes them harder to prevent.
“At Children’s in Dallas, there are 10 full-time emergency pharmacists, more than anywhere else in the country, and they are on call 24 hours a day. The pharmacists provide a vital safety net, according to Dr. Rustin Morse, chief quality officer and a pediatric ER physician.” Every single order I put in,” Morse says, “is reviewed in real time by a pharmacist in the “emergency department prior to dispensing and administering the medication. That may sound obvious, but Morse says doctors like him, are used to jotting down a type and quantity of drugs and moving on. If there’s a problem, a pharmacist will hopefully catch it and get in touch later. But later won’t work in the emergency room.”
“There are also automatic reviews by an electronic medical record system designed to essentially “spell check” orders to prevent errors. You need both, says Dr. James Svenson, associate professor of emergency medicine at the University of Wisconsin, because the electronic medical record doesn’t catch all errors.”
* to read the full NPR story “Hospitals Put Pharmacists In the ER To Cut Medication Errors” by Lauren Silverman, highlight and click on open hyperlink http://www.npr.org/blogs/health/2014/06/09/318567633/hospitals-put-pharmacists-in-the-er-to-cut-medication-errors
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Jonathan M. Metsch, Dr.P.H., is Clinical Professor, Preventive Medicine, Icahn School of Medicine at Mount Sinai; and Adjunct Professor, Baruch College ( C.U.N.Y.), Rutgers School of Public Health, and Rutgers School of Public Affairs and Administration.
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