On 5/5/06, Ruben Safir <[EMAIL PROTECTED]> wrote:
...
Yes - not only does it make sense, but I've confirmed this rate in my
own studies both in ***ambutitary*** care settings (ir: at the counter
in Rite-Aid) and in the hospital (following the nurses around). And
this is while I was watching them. In fact, my data showed nearly 27%
of the doses to be medically incorrect, and nearly 47% of the IV drugs
given on the floors as being incorrect, and that was just from what I
could see and not accounting for dosing errors, or miss use of drugs by
physicians which my students and I did not catch even before following
the nurse around.
So can you give some examples? Would this be like using septra DS
once daily instead of the usual BID? Are these prescription writing
errors that you, the pharmacist, would catch? I mess up prescriptions
not infrequently, i.e. --forget to put a quantity, forget to specify
direction etc. But I don't often get the sig wrong in terms of actual
dosing instructions.
At one point it was discussed about what to do with Physician Order
Entry and interaction warnings. I strongly recommend the inclusion of
those warnings. In addition, if it was me, nobody would ever order a med
without the prescribing information on the screen write next to the drug
and annotation from the department heads and the pharmacy.
Such systems have been designed, and impatient doctors don't usually
tolerate them..
Not a surprise. My gut tells me that the FDA listing is not the best
place to work off of.
True, but when I was asking around, it was the only database I could
find, and no one had a better suggestion. So now I am stuck with it.
But ANY database that is complete will have all this old 'junk' in it.
Kevin
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