This WebM&M highlights two cases where home diabetes medications were not reviewed during medication reconciliation and the preventable harm that could have occurred. The commentary discusses the importance of medication reconciliation, how to compile the ‘best possible medication history’, and how pharmacy staff roles and responsibilities can reduce medication errors.
Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
This WebM&M highlights two cases of patient safety events that occurred due to medication dosing related to diagnostic imaging. The commentary highlights the challenges of administering sedation for diagnostic imaging, the use of risk stratification to understand patient risk for oversedation, and strategies for appropriate monitoring and communication.
This WebM&M highlights two instances where incomplete documentation of patient history led to complications related to anesthesia administration. The commentary discusses the importance of a thorough preoperative history and preoperative evaluation.