# data[].attributes.headline
We always give the stock bottle to the pharmacist when filling liquids and ask the pharmacist to double check when we bubble something that came through central fill

# data[].attributes.subject
We always give the stock bottle to the pharmacist when filling liquids and ask the pharmacist to double check when we bubble something that came through central fill

# data[].attributes.headline
after a counseling session about how to you an inhaler the patient decided she didn't want it and the pharmacist did not try to convince her to get it

# data[].attributes.subject
after a counseling session about how to you an inhaler the patient decided she didn't want it and the pharmacist did not try to convince her to get it

# data[].attributes.headline
People always hold the vial of drug and the amount drawn up and have the pharmacist verify it before it gets added to a bag

# data[].attributes.subject
People always hold the vial of drug and the amount drawn up and have the pharmacist verify it before it gets added to a bag

# data[].attributes.headline
There were a couple of issues in my pharmacy where patients were given meds for a different patient, because technicians were pushing buttons for the patients to override systems in place on the pen pad when checking out. My pharmacy printed off our procedures and had everyone sign off that they read them

# data[].attributes.subject
There were a couple of issues in my pharmacy where patients were given meds for a different patient, because technicians were pushing buttons for the patients to override systems in place on the pen pad when checking out. My pharmacy printed off our procedures and had everyone sign off that they read them

# data[].attributes.headline
Bringing refrigerated prescriptions to the pharmacist to get a second look to make sure the prescription matches the patient before sending it out.

# data[].attributes.subject
Bringing refrigerated prescriptions to the pharmacist to get a second look to make sure the prescription matches the patient before sending it out.

# data[].attributes.headline
At my IPPE last year, I was observing someone in the IV hood who stuck themselves with a needle. They immediately were more worried about their job and the extra work they had to do rather than reporting the incident and learning from it. Creating an environment where techs and pharmacists aren't afraid to report their mistakes is pretty important.

# data[].attributes.subject
At my IPPE last year, I was observing someone in the IV hood who stuck themselves with a needle. They immediately were more worried about their job and the extra work they had to do rather than reporting the incident and learning from it. Creating an environment where techs and pharmacists aren't afraid to report their mistakes is pretty important.

# data[].attributes.body
Asking the patients what they are taking their medication for and what they know about it already

# data[].attributes.body
Do your best to learn their name or generally which chronic disease(s) they have.

# data[].attributes.headline
we always check name, date of birth, and address with patients since we have a few people that have the same names and/or dates of births

# data[].attributes.subject
we always check name, date of birth, and address with patients since we have a few people that have the same names and/or dates of births

# data[].attributes.headline
my pharmacist asks during counseling "what are you using this medication for?" 

# data[].attributes.subject
my pharmacist asks during counseling "what are you using this medication for?" 

# data[].attributes.body
It's possible they are understaffed leading to increased hours which sometimes result in more errors

# data[].attributes.body
human distraction
potentially not being fully alert
not double checking the vial (both by the pharmacist and the tech)

# data[].attributes.body
Honest and empathetic about mistake made but still frame it as a problem that is being addressed with the health system and not the fault of one or two employees

# data[].attributes.body
having a barcode scanning system in place with the vials before putting it into the IV bag may have helped with having multiple processes in place to make sure the right med was administered, rather than relying solely on the pharmacist to check it

# data[].attributes.body
the wrong med was given to the patient
the fire alarm went off and the patient probably wasnt being watched as closely
the drugs arent even close in name

# data[].attributes.headline
When verifying, should have all of the materials that were used along with it, especially the bottle of the drug.

# data[].attributes.subject
When verifying, should have all of the materials that were used along with it, especially the bottle of the drug.

# data[].attributes.body
I am curious why when the pharmacist checked what the tech did, the tech didn't have the bottle of  rocuronium and the syringe he/she used to draw it up. That shows there could be a structural issue if the tech isnt requried to do that.

# data[].attributes.body
The article said the bag was labeled correctly but the incorrect drug was put in it and when it was verified it was checked with the incorrect vials. I'm curious how they missed this in the verification step.

# data[].attributes.body
Both the tech and the pharmacist could've been more careful in double-checking the bags. But also it would be interesting to see a scanning system or electronic double-check in nuclear pharmacy

# data[].attributes.body
the staff should not have left the patient unattended and uncared for while the fire alarm was going on, it took them 20 minutes to notice the error - better systems need to be in place to prevent this

# data[].attributes.body
Handled the situation professionally. Didn't blame certain caregivers, put procedures in place to avoid the same errors in the future, and gave an apology speech/letter

# data[].attributes.body
Really highlights the severity of medication errors and serves as example as to why we need to be cautious when filling medication orders.

# data[].attributes.body
the news article clearly took the patients side. Safeway atleast sounds like they will do everything in their power to help this patient down the road, but thats the least they can do

# data[].attributes.body
A patient recieved the wrong drug because the wrong drug was placed in the IV bag but labeled correctly. This was an error on the tech who made the bag and the pharmacist not double checking what was put in it. This problem was made worse because the fire alarm made the nurse shut the door. This article was good because it included the offical press release which detailed what happened.

# data[].attributes.body
The pharmacist could have payed more attention when verifying what was in the bag

# data[].attributes.body
double check name and date of birth
tallman font
double check the directions written on the hard copy if needed

# data[].attributes.body
Wrong medication was put in an IV bag. Possibly vials that were near each other got mixed up or mislabeled.

# data[].attributes.body
Unclear exactly where the error occurred. Did he look up the wrong name in the system? Or grab the wrong bag?

# data[].attributes.body
wrong medication was given
the two patients were mixed up
the directions were typed in as daily instead of weekly

# data[].attributes.body
The pharmacist only asked for patient name, instead of verifying a second identifier (address, phone number, date of birth, even middle initial)

# data[].attributes.headline
Should've said what the methotrexate was used for. It would have led to the patient asking about the antibiotic.

# data[].attributes.subject
Should've said what the methotrexate was used for. It would have led to the patient asking about the antibiotic.

# data[].attributes.headline
Article 1                                    the pharmacist should have counseled regardless of what the patient said since it is a 'high alert' drug

# data[].attributes.subject
Article 1                                    the pharmacist should have counseled regardless of what the patient said since it is a 'high alert' drug

# data[].attributes.headline
The pharmacy responded properly by offering to pay medical expenses 

# data[].attributes.subject
The pharmacy responded properly by offering to pay medical expenses 

# data[].attributes.body
The article also mentions incorrect directions on the methotraxate prescription

# data[].attributes.body
The pharmacist should have taken more time to grab the bag with her name, not the very similar name he did grab. However, it was probably also a structural issue of the pharmacy, because they should have had a better way to differentiate such similar names.

# data[].attributes.body
Pharmacist should have verified the name, address, and birthday to make sure the patient was correct. She also should have been counseled since it was a new medication. They could have caught the error there if they had. Also double checking any contraindications with prescribed medicines and OTC recommendations.

# data[].attributes.headline
Didn't double check the right medication was given to the right patient

# data[].attributes.subject
Didn't double check the right medication was given to the right patient

# data[].attributes.body
Did pharmacist offer to counsel? If so, he might have caught the mistake then

# data[].attributes.body
it could be OK since the pt only take 1 pill.
actions should be taken right away to prevent further complications

# data[].attributes.body
Pharmacist should have checked the medication.

# data[].attributes.body
Pharmacist should have checked the medication. and

# data[].attributes.body
Pharmacist did not take the time

# data[].attributes.body
The problem was the patient was given the wrong patien's medication. This could have been because of a tech or pharmacist not checking the birthdate and making sure it was the right patient. This article made it seem like it was an abortion pill when really theres just a chance for birth defects

# data[].attributes.body
pharmacist did not verify pt date of birth, address or phone

# data[].attributes.headline
article 1.                               didn't confirm date of birth?

# data[].attributes.subject
article 1.                               didn't confirm date of birth?

# data[].attributes.headline
pharmacist wasn't actively thinking about contraindications: methotrexate given to a person looking at prenatal vitamins

# data[].attributes.subject
pharmacist wasn't actively thinking about contraindications: methotrexate given to a person looking at prenatal vitamins

# data[].attributes.headline
Article 1.                             pharmacist wasn't actively thinking about contraindications

# data[].attributes.subject
Article 1.                             pharmacist wasn't actively thinking about contraindications

# data[].attributes.body
Wrong medication was given
Patients were mixed up and thats why this patient received the wrong drug
The directions of the med were typed in as daily instead of once weekly