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The cases described in this WebM&M reflect fragmented care with lapses in coordination and communication as well as failure to appropriately address medication discrepancies. These two cases involve duplicate therapy errors, which have the potential to cause serious adverse drug events.
ISMP Medication Safety Alert! Acute care edition. January 26, 2023:28(2):1-4.
ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732.
Institute for Safe Medication Practices.
Community pharmacists encounter a wide range of challenges to medication safety. This study used a novel prospective method of predicting errors and developing remedial solutions.
Kaplan A. NBC News. October 27, 2022.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 29, 2022.
Lovelace Jr, B. NBC News. September 7, 2022.