Discussion
Research online and find a recent medical error that made the news. Answer the following questions.
1. What happened in the incident?
2. Who was involved?
3. What were the ramifications for the patient and/or staff?
4. Reflect on the incident and think about some causes and possible interventions that could have prevented the error.
5 years old, overdosed on meds 14 times stronger than prescribed — and regulator didn’t punish pharmacy for error. According to reports on the CBC news. A 5-year-old boy with autism was overdosed with sleep pills 14 times stronger than prescribed. It was said that the sleeping pill was improperly compounded in February 2021 at the Goldstream Forbes Pharmacy in Victoria. When the Wilsons filed their complaint, they’d hoped to see something like a recent decision from New Brunswick, where a pharmacist was publicly reprimanded, fined and suspended for a clonidine compounding error that had seen a child given gummies concentrated at 1,000 times the prescribed dose.
“Our B.C. college was not even in the ballpark,” Brent Wilson said.
Reflecting on the incident, cause may have been, that the Pharmacist did not pay attention to the dosage. A possible interventions that could have prevented the error. Verifying that the paper prescription and the digital prescription are the same Examine prescriptions carefully.