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.
Clark C. MedPage Today. June 2, 2022
ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4.
Kelman B. Kaiser Health News. April 29, 2022.
Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022.
This WebM&M describes an adverse event due to mislabeling or “syringe swap” in a preoperative patient. The commentary outlines several recommendations and safeguards to ensure that medications administration is safe.
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. ISBN: 9780309686259