I think its owned by medispan and updated regularly. Ruben On Tue, May 09, 2006 at 02:48:31PM -0400, Kevin Toppenberg wrote: > Ruben, > > Your examples are certainly sobering... > > What is the Red book? Is it a publically available database? URL? > Not that I am willing to change horses this late in the game, but I am > curious. > > Thanks for your comments. > > Kevin > > > On 5/9/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > >On Fri, May 05, 2006 at 07:56:38PM -0400, Kevin Toppenberg wrote: > >See - http://www.ismp.org/ > > > > > >> 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? > > > >Almost no nursing staff puts the correct amount of solution into the > >antibiotic solution, and normally keep the drugs too long after > >reconstitution. > >Over %20 of the Amphotericin orders where administrated without protection > >from > >light in one location I was in ***DESPITE*** the Pharmacy sending the doses > >up with protection (which was ripped off the bag). > > > >Almost all doses of floxicin type antibiotics are dosed incorrectly in > >patient > >populations over the age of 65. Pravacol is almost always prescribed > >without > >a dossage adjustment of ancillary drug therapy, especially Warfarin. > >Nearly 12% > >of the l-thyroxine RX's I've seen are just filled or written wrong because > >of > >large number of doses and poor communications. > > > >etc etc etc... > > > >> Are these prescription writing > >> errors that you, the pharmacist, would catch? > > > >How about just flatout errors. Like Vicoden RX's without doses, > >quantities, > >or clear instructions. Apxil instead of Paxil CR, the wrong form of > >Diltezam HCl being prescribed from what patients have been previously > >getting, > >to finding out that patients on anti-depressants have been having nighmares > >only to be treaded with Ambien instead of switching off to a different > >anti-depresant. > > > >Its depressing to work through all of this. > > > >Doxycycline to Pregnant women from Dermatologists, HCTZ to patients with > >severe > >sulfa allergies, Norvasc with pateints with prolongs ST problems rather > >than > >treating the arythimic problems ... on and on. > > > >I love Priscriptions is NO NAMES on them, NO Dates on them... > > > > > >> 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. > >> > > > >The Red Book should have been nearly complete.. Sorry about that. > > > > > >> Kevin > >> > >> > >> ------------------------------------------------------- > >> Using Tomcat but need to do more? Need to support web services, security? > >> Get stuff done quickly with pre-integrated technology to make your job > >> easier > >> Download IBM WebSphere Application Server v.1.0.1 based on Apache > >Geronimo > >> > >http://sel.as-us.falkag.net/sel?cmd_______________________________________________ > >> Hardhats-members mailing list > >> Hardhats-members@lists.sourceforge.net > >> https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > >-- > >__________________________ > >Brooklyn Linux Solutions > > > >So many immigrant groups have swept through our town > >that Brooklyn, like Atlantis, reaches mythological > >proportions in the mind of the world - RI Safir 1998 > > > >DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002 > >http://fairuse.nylxs.com > > > >"Yeah - I write Free Software...so SUE ME" > > > >http://www.mrbrklyn.com - Consulting > >http://www.inns.net <-- Happy Clients > >http://www.nylxs.com - Leadership Development in Free Software > >http://www2.mrbrklyn.com/resources - Unpublished Archive or stories and > >articles from around the net > >http://www2.mrbrklyn.com/downtown.html - See the New Downtown Brooklyn.... > > > > > > > >------------------------------------------------------- > >Using Tomcat but need to do more? Need to support web services, security? > >Get stuff done quickly with pre-integrated technology to make your job > >easier > >Download IBM WebSphere Application Server v.1.0.1 based on Apache Geronimo > >http://sel.as-us.falkag.net/sel?cmd=lnk&kid=120709&bid=263057&dat=121642 > >_______________________________________________ > >Hardhats-members mailing list > >Hardhats-members@lists.sourceforge.net > >https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > > ------------------------------------------------------- > Using Tomcat but need to do more? Need to support web services, security? > Get stuff done quickly with pre-integrated technology to make your job > easier > Download IBM WebSphere Application Server v.1.0.1 based on Apache Geronimo > http://sel.as-us.falkag.net/sel?cmd_______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members
-- __________________________ Brooklyn Linux Solutions So many immigrant groups have swept through our town that Brooklyn, like Atlantis, reaches mythological proportions in the mind of the world - RI Safir 1998 DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002 http://fairuse.nylxs.com "Yeah - I write Free Software...so SUE ME" http://www.mrbrklyn.com - Consulting http://www.inns.net <-- Happy Clients http://www.nylxs.com - Leadership Development in Free Software http://www2.mrbrklyn.com/resources - Unpublished Archive or stories and articles from around the net http://www2.mrbrklyn.com/downtown.html - See the New Downtown Brooklyn.... ------------------------------------------------------- Using Tomcat but need to do more? Need to support web services, security? Get stuff done quickly with pre-integrated technology to make your job easier Download IBM WebSphere Application Server v.1.0.1 based on Apache Geronimo http://sel.as-us.falkag.net/sel?cmd=lnk&kid=120709&bid=263057&dat=121642 _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
