Northwest Physicians Insurance Company

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Risk Management

Tips

Medication Errors
January, 2001

In 1998, more than 2.5 billion prescriptions were filled in the United States.  Approximately $100 billion is spent on prescriptions each year, with nearly half of all Americans taking prescription drugs.  With exposure to prescription medications so high, it is no surprise that many studies cite the use of medications as the leading cause of medical injury.  Data from the Physician Insurers Association of America (PIAA) reveals medication errors are the third most prevalent cause of malpractice claims.  In that regard, the PIAA has provided the following Risk Management Recommendations:

1)  Handwritten prescriptions must be legible and complete

Ø      Avoid abbreviations

Ø      Double check name and spelling of prescribed drug

2)  Educate patients regarding the importance of compliance

Ø      Review reason for prescription, side effects, dosage

Ø      Discuss use of complementary medications

Ø      Allow time for questions

3)  Double check medication prior to administration

Ø      Check dosage, route and form

Ø      Check generic and trade names

Ø      Confirm appropriate reason for use

Ø      Check for known allergies

4)  Make full use of all technology available to avoid errors

5)  Use the resources on the Internet

Ø      Expand knowledge of medications

Ø      Learn about recalls and new medications

Ø      Caution patients about pitfalls of ordering online

6)  Contribute to group efforts in promoting safety

Ø      Openly discuss problems

Ø      Offer suggestions for solutions

7)  Take care when prescribing drugs with similar names

8)  Devise a system to monitor patients on long-term medication

Ø      Side effects

Ø      Need for continued therapy

Ø      Appropriate drug levels

Reducing medication errors can make a major impact on improving patient safety and we urge you to incorporate the above recommendations into your practice.

 

Phone: 503-371-8228 or 1-800-243-3503
Email
info@npictdc.com
Northwest Physicians Insurance Company Copyright (c) 1998
2965 Ryan Drive S.E., Salem, Oregon 97301