Who Should Report an Error?

Please, Please, Open the Bag!

One of the most frequent errors in the pharmacy is giving a correctly filled prescription medicine to the wrong customer. Recently, we received another report of this type of error. A parent of a 16-year-old teen picked up what was supposed to be an antibiotic to treat his acne, minocycline. The next month, when looking at the prescription label to call in a refill of the medicine, the teen’s mother realized the prescription medicine was for a different person, and the medicine dispensed was not minocycline. Instead, Xarelto (rivaroxaban), a medicine used to prevent blood clots after surgery or in people at risk of having a stroke, was listed on the label. Fortunately, the teen was not injured. However, the risk of bleeding from taking Xarelto in error for a month is certainly significant.

Call a Rapid Response Team to Address Unresolved Safety or Health Concerns While in the Hospital

Parents Staying with Their Hospitalized Child Can Help Detect Some Errors—But May Contribute to Others

Today, parents can often visit and stay with their sick, hospitalized child whenever they want. Many parents take advantage of this and remain with their child as much as possible, getting more involved in their child’s care. For an ill child, this can be comforting and provide an important emotional benefit, which might lead to faster healing as well as long-term behavioral benefits.1 For the parents, this can lead to less stress, anxiety, and sadness. 1

Desiccant Mistaken as Medicine Tablet