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Jack Westfall, MD MPH, is a retired professor from the University of Colorado School of Medicine and Former Director of the Robert Graham Center. We spoke with him about the role of primary care in the health and well-being of individuals, the hallmarks of high quality primary care and opportunities of primary care providers to enhance or promote patient safety.

This case involves a 65-year-old woman with ongoing nausea and vomiting after an uncomplicated hernia repair who was mistakenly prescribed topiramate (brand name Topamax, an anticonvulsant and nerve pain medication) instead of trimethobenzamide (brand name Tigan, an antiemetic) by the outpatient pharmacy.

… migraines, polysubstance abuse, and a penicillin allergy presented to the emergency department with complaints … 2.4 million units IM weekly for 3 doses. Because of her allergy history, the patient was first sent to the hospital … mortality, enhance medication list accuracy, improve allergy identification, and lower 30-day hospital readmission …
… list, diagnostic test results, and updated medication and allergy lists. They may also provide patients with tailored …
A powerful anti-clotting medication is ordered for a patient admitted for coronary intervention. Due to a forcing function in the computer order entry system, the intern enters an arbitrary maintenance infusion rate, assuming that the pharmacy will fix it if it is wrong. The pharmacy dispenses it as written, and the nurse administers it—underdosing the patient by a factor of 40.
… repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was noted during his … anesthesiologist expressed concern about the reported allergy and planned to discuss with the surgeon—mostly to understand the nature and severity of the allergy. Fighting time pressures, driven at least in part by …
… The use of any bedside or applied patient alert (e.g., allergy bracelets, overhead signs, tattoos) relies on … about medications and allergies. If a patient develops an allergy later in the hospital stay, this alert mechanism …
… antipyretics, and analgesics to relieve the symptoms of allergy, fever, and pain. We administer injection therapies, … to enforce complete prescriptions, dose-range checks, drug allergy and drug interaction checks, and accessible drug …
… allergies to a number of medications as well as a food allergy to eggs. The patient was adamant about appropriate … documentation of her allergies, especially her food allergy because "scrambled eggs almost killed me." … more common in young children, in whom the rate of severe allergy to the ovomucoid-ovalbumin allergens of hens' eggs …
… contrast. However, as has been described, the term "iodine allergy" is not accurate. This patient probably has multiple, … to PubMed go to PubMed ] 9. Coakley FV, Panicek DM. Iodine allergy: an oyster without a pearl? AJR Am J Roentgenol. … patients receiving radiographic contrast media. J Allergy Clin Immunol. 1984;74:540-3.[ go to PubMed go to …