Question to be answered: From the case scenario 2 and 3 what can a pharmacist do to avoid such an incidence while working in a Pharmacy? Give a list of strategies in minimizing dispensing errors.
Case Scenario 2
The child had been receiving a prescribed dose of tryptophan at bedtime to treat a sleep disorder for about 18 months. A refill was ordered and filled. The child received the prescribed dose but was found dead in his bed the next day. The post-mortem toxicology test identified the antispasticity agent baclofen at the expected concentration of the prescribed tryptophan. It was determined that the child had received a dose of baclofen more than 20 times the maximum recommended pediatric dose.
Case scenario 3
An outpatient pharmacy accidentally dispensed the antipsychotic thiothixene (Navane) instead of the prescribed anti-hypertensive medication amlodipine (Norvasc). The patient took the wrong medication for three months, leading to physical and psychological harm.
Question to be answered:
- From the case scenario 2 and 3 what can a pharmacist do to avoid such an incidence while working in a Pharmacy? Give a list of strategies in minimizing dispensing errors.
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