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.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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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:

  1. 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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