Articles Posted in Advances in Patient Safety

As the population increases, more people are filling prescriptions. This results in an increased burden on Maryland pharmacists. Indeed, many experts believe that this increased workload is the leading cause of pharmacy errors. To help pharmacists efficiently fill prescriptions, many pharmacies rely heavily on technology, including e-prescribing, electronic databases, and software designed to bring pharmacist’s attention to potential adverse interactions.

For the most part, technology makes it possible for pharmacists to do their job. However, there is a concern that an overreliance on technology may put patients in jeopardy. According to a recent news report, all patient records were inadvertently deleted after an IT error at a university pharmacy. Evidently, the lost data included prescription and refill history and insurance information for all customers. Pharmacy staff estimate that the affected number of patients is somewhere around 50,000.

As a result of the error, the pharmacy’s databases must all be rebuilt. This requires pharmacists manually enter in all patient data, including insurance information and prescription history. Patients are being asked to call their physician and have them reorder all necessary prescriptions. For now, there have not been any reported pharmacy errors that have occurred as a result of the loss of patient data.

Over the past few years, local Maryland pharmacies have seen a gradual increase in the number of prescriptions that are filled each year. However, pharmacies have been slow to adjust the number of pharmacists with this increase in demand. As a result, pharmacists are dealing with increased workloads.

For quite some time, experts have agreed that as a pharmacist’s workload increases, the likelihood of an error also increases. Some believe that new technology can help pharmacists more accurately and quickly fill prescriptions. According to a recent industry news report, by using state-of-the-art technology to fill orders, pharmacists can free up nearly 90 minutes per day.

Generally, when appropriate technology is used to fill prescriptions, there seems to be a reduction in the error rate. However, some skeptics point to the learning curve that implementing new technology presents, raising a concern that patient safety may be jeopardized as pharmacists get accustomed to frequent changes in the workplace.

A significant number of Maryland prescription drug injuries are caused by opioid use and abuse. Over the last decade, the number of deaths that were related to opioid medications has dramatically increased from about 35,000 in 2007 to over 70,000 in 2017. In an effort to curb these stark statistics, experts began to consider why opioid abuse has become more prevalent over the past few years and what new law or policies could help decrease opioid abuse.

One idea that is starting to gain traction is the concept of partial-fill prescriptions. Under a partial-fill prescription policy, patients who are prescribed certain high-risk opioid medications are given only a few days’ worth of medication at a time. The idea behind the policy is that if patients are given fewer pills they will be less likely to take more than they need. Additionally, proponents of a partial-fill policy hope that it would reduce the number of people who sell some or all of their medication.

According to a local news report, Tennessee recently enacted a partial-fill policy under which patients would only be provided some of their medication on their first visit to the pharmacy. Patients could obtain the rest of their medication, if needed, by returning to the pharmacy once they run out of medication. Under the new policy, pharmacies are responsible for inputting patient data into a state-wide database.

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Prescription errors are all too common in the United States. Pharmacists and doctors are human, and like everyone else they make mistakes. Unfortunately, these errors can have devastating effects on Maryland patients. In the event of a prescription error, a patient or family member may be able to bring a claim to recover compensation for the patient’s injuries and to hold the person or entity responsible.

A patient or family member may be able to bring a medical malpractice claim, or another claim against the responsible medical professional. In a medical malpractice case, a plaintiff must show that the defendant failed to meet the requisite standard of care, or the standard the medical professional should have met in the same or similar situation.

Medical malpractice prescription error cases usually involve complex medical conditions and confusing medical records, and retaining an experienced attorney is essential. In a medical malpractice claim, a plaintiff must show that a defendant acted negligently or failed to take the appropriate actions. A plaintiff must prove four elements: the defendant had a legal duty, the defendant failed to perform that duty, the plaintiff suffered injuries, and causation between the defendant’s conduct and the plaintiff’s injuries.

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A new study reports that flu vaccinations are occurring more frequently in alternative settings such as pharmacies, clinics, and work, as one news source reported. According to the study, patients between the ages of 18 and 64 had higher rates of early vaccination at clinics, pharmacies, and workplaces, helping to increase the number of flu vaccinations received before November 1st. Also, high-risk patients over 65 years of age reported even higher rates of early flu vaccinations at pharmacies and work. The study’s author found that there is an association between the setting where a vaccination is received and the timing, and that non-traditional vaccination settings help to increase the rates of flu vaccinations before November 1st, a deadline set by the Centers for Disease Control and Prevention (CDC).

According to the CDC, the 2017-2018 flu season was particularly severe, It was reported that an estimated 80,000 Americans died from the flu and its complications. These numbers included 183 pediatric deaths. It was the highest rate of death from the flu in the past four decades. The CDC recommends getting the flu vaccination as early as possible because it takes about two weeks after receiving the vaccination for the antibodies that protect against the flu to develop in the body.

Liability of Flu Shot Providers in Maryland Pharmacies and Other Alternative Settings

As more individuals in Maryland and throughout the country receive flu shots in alternative settings, providers can still be held liable for errors in dispensing the vaccine. Although many vaccinations are administered without issue, mistakes can occur, even in a routine procedure like the administration of a flu shot. For example, the incorrect dosage may be administered, a needle may be mistakenly used more than one time, side effects may not be disclosed, or the wrong vaccination may be administered. In the event of an error, some individuals may be able to bring a medical malpractice claim to recover compensation for the injuries they sustained.

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Medical errors, including Maryland pharmacy errors, are commonly believed to be one of the leading causes of death in the United States. However, the actual number of pharmacy errors is up for debate because, as is the case in Maryland, most states do not require pharmacists to report the vast majority of the errors that occur.

Under the laws of most states, pharmacists need only report errors that end up causing an “adverse medical event.” Essentially, this means that an error does not need to be reported unless the patient suffers some kind of harm as a result of the error. Thus, errors that are caught before the medication is delivered to the patient do not need to be reported.

It is widely believed, however, that the best way to reduce errors is to learn from common mistakes. In most professions, the industry can learn from many common errors as a whole, meaning that pharmacists in Maryland may develop a better way to prevent an error and can share that new method with other pharmacists nationwide. However, in order for that learning process to work, pharmacists must be open about the number and types of errors.

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Maryland medical errors – including misfilled prescriptions – are one of the leading causes of death in the state and across the country. Indeed, a 2016 study by Johns Hopkins concluded that, if properly tracked, medical errors would be the third-leading cause of death in the United States. However, due to the fact that the law allows for voluntary reporting of most errors, many Maryland pharmacy errors go unreported.

According to a recent industry news report, Chicago is taking affirmative steps to combat the growing number of pharmacy errors. The city’s actions follow a report by a local paper indicating that of the 25 pharmacies surveyed, over 50% committed at least one error. The city’s attempts are premised on the longstanding and verified belief that the more prescriptions a pharmacist fills per shift, the higher is the chance that the pharmacist will make a medication error in the type, dose, or administration of a drug.

In an attempt to reduce future errors, Chicago lawmakers have proposed a number of pharmacy regulations. For example, one proposed regulation limits the total number of prescriptions a pharmacist can fill by hour to 10. Another regulation requires that pharmacists who have been working in excess of eight hours notify patients as they fill their prescription. Lawmakers have also proposed that pharmacists be required to take one 30-minute lunch break and several 15-minute breaks per eight-hour shift.

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Prescription medications are controlled by the government for good reason. Indeed, many prescription drugs are dangerous substances that are only approved for use under strict conditions for very specific applications. It may be that a prescription drug negatively interacts with other commonly consumed medications, or that the medication itself easily leads to dependency and addiction. The bottom line is that prescription medication can be dangerous, and pharmacists and manufacturers should take all steps necessary to prevent Maryland pharmacy errors.

One of the most important tools pharmacists can use to decrease the chance of a serious or fatal prescription error is to make sure that the label affixed to the prescription is correct and written in plain English so that the patient can understand the directions. According to a recent news report, experts have been studying the impact that label design has on a patient’s likelihood of experiencing an error. The study found that patients are experiencing errors even with properly filled medications due to confusing medication labels.

For example, the article discusses a situation in which a woman was prescribed a patch containing pain medication to help with her arthritis. The label indicated the woman should apply the patch when she feels pain, but it did not specify how many patches to use at one time. The woman’s family later discovered that she had been using the pain patches all over her body, effectively overdosing on the medication contained in the patch.

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The online retail giant Amazon recently announced that it would soon be entering the pharmacy business. With Amazon’s impressive delivery network, the company believes that it has a service to offer those who would otherwise need to travel to the nearest pharmacy to fill their prescription. Some believe that Amazon’s entrance into the pharmacy business may reduce the number of Maryland prescription errors.

Due to the volume of transactions that Amazon handles annually, some are seeing Amazon’s entrance into the pharmacy business as an opportunity for the industry to make major strides toward a safer process. The idea is that Amazon has the clout necessary to make pharmaceutical companies make changes to the way drugs are packaged and marketed.

According to a recent industry news report, the leading cause of pharmacy errors is inadvertence. Simply stated, most pharmacy errors are results of a busy pharmacist grabbing the wrong medication because its name or packaging is so similar to the medication the patient requires. And, according to the article, drug manufacturers have little reason to change because they are not normally held liable for errors. However, the article notes that as Amazon enters the business, the company may be able to use its influence to require manufacturers to make changes to the way companies package and market their drugs, potentially resulting in an overall decrease in the amount of pharmacy errors.

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Prescription errors can have devastating consequences for Maryland patients. These types of errors can be caused by a number of different issues, including writing the wrong prescription and dispensing the wrong medication. Some of these errors may be reduced by changing something as simple as the packaging of the medication. Some drugs have similar names, and other bottles look alike, increasing the likelihood of error. Experts are pushing companies to make changes in cases of confusing labeling, naming, and packaging.

In a prescription error case, an individual must show that the defendant was negligent in doing or failing to do something by failing to meet the standard of care required. This might include failing to properly read the label on a medication bottle. However, industry experts are working to help medical professionals avoid such errors.

FDA Guidance Seeks to Reduce Errors Due to Labeling and Packaging

Look-alike and sound-alike medications increase the likelihood of prescription errors, according to one news source. One report found that 33 percent of all medication errors and 30 percent of deaths from medication errors resulted from issues with medication labeling and packaging.

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