LITTLE ROCK, Ark. (KTHV) — If you take medication every day, you’re part of the majority of Americans, but how do you know what you’re prescribed and what you’re given is correct? Mistakes happen. THV11 looked into what we can do to avoid medication errors
Eighty-two percent of American adults take at least one medication a day according to the Centers for Disease Control. This keeps pharmacists filling prescriptions all day.
“Per pharmacist probably 125 or 150 prescriptions a day,” said Philip Way, a pharmacist at Remedy Drug.
What if you were handed the wrong prescription? Or what if your doctor accidentally prescribed you the wrong medicine?
“Everyday the pharmacist is working to correct dosage,” said Dr. Scott Pace, CEO of the Arkansas Pharmacists Association.
Many of you know firsthand the possible mistakes that can happen when it comes to receiving your medicine.
“I once received the wrong birth control pills,” one viewer said.
“I was given someone else’s pills in my bottle,” another said.
“I once noticed my dad’s refill looked different. He started to fall and not remember anything,” said another viewer claiming he was given the wrong prescription.
“The right drug at the wrong dose can be prescribed, the wrong instructions can be prescribed, it can be misinterpreted at the pharmacy level,” Pace said. “A lot of selection errors have happened.”
Pace believes technology has created a new opportunity for error.
“We’ve moved away from a lot of handwritten prescriptions to electronic prescriptions,” Pace said.
When doctors send prescriptions electronically, if they click the wrong medication, the pharmacist won’t know it’s a mistake.
“It’s the technology that sometimes is changing what used to be a simple paper process and turning it into something on a computer and it’s a different workflow so with that workflow is a new opportunity for different errors,” Pace said.
“Rarely does it appear here,” Way said.
He puts prescriptions through a triple screening process to make sure those mistakes don’t happen.
“There’s a process of data entry.”
So when he gets your prescription, he reviews the patient, the doctor, and what else the patient is taking. He finds the medicine off the shelf, counts the pills, bottles them, then checks again
“Making sure the right medicines on the bottle, the right drug is on the label, the right doctor is on the label and that the patient is not already taking it or taking something that would interfere with it,” Way said.
Every year, the CDC reports more than one million emergency department visits come from adverse drug events. That’s any harm that comes from the use of medication like allergic reactions, side effects, over medication, and medication errors.
“If it’s a drug allergy they could have a reaction and depending on who they’re surrounded by and how they know how to react to that, it could be fatal,” Way said.
The final step to make sure you’re getting the right medicine is conversation.
“Communication is very important to us at the pharmacy level,” Way said. “Tell them what’s going on with your health care. They’re going to protect that information, but they need to know if you just had a baby, if you got over an infection.”
“If the color looks different than it did last month, ask. If the shape looks different, ask. If the directions look different, ask,” Pace said.
Scott Pace believes some errors come from drugs that sound alike or with similar names. The Food and Drug Administration reviews about 300 drug names a year before they’re marketed, with about a third rejected to minimize confusion.
If the pt presents a prescription and there is no drug allergy, drug interaction, or other contraindications that would suggest that the Pharmacist should not fill the prescription… but.. the pharmacist because of some personal opinion, bias , prejudiced or phobia the pharmacist refuses to fill the prescription. Won’t give the pt a valid reason… just … NO…
Is there that much difference between a pt walking away from the pharmacy counter with the WRONG MEDICATION and the pt walking away from the pharmacy counter WITHOUT the medication that their doc had determined they had a medical necessity for…
Both pts are walking away from the pharmacy counter without the medication that their doc wanted them to have.
My money is on that if both pts filed a complaint with the state pharmacy board…the board would take some sort of punitive action against the pharmacist for giving the pt the wrong medication and it is highly unlikely they would take any action against the pharmacist for refusing to fill a legit/on time/medically necessary prescription.
In 2016, the KY board of pharmacy reported it received 15 complaints for denial of care – refusing to fill a legit/on time/medically necessary prescription and 14 complaints were dismissed without further action. One can only surmise that for every complaint filed with the board over denial of care there was probably 100 – 1000 more incidents that the pt didn’t bother to file a complaint.
Filed under: General Problems
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