Electronic Prescription Systems Reduce Errors, Increase Adherence to Medication Program

February 29, 2012

When doctors use electronic prescription systems to deliver prescriptions, patients are not only more likely to follow through with the medication course, but also less likely to suffer injuries from filling errors. In fact, new research indicates that the use of electronic prescriptions improves patient adherence to medication programs, thereby contributing to better patient outcomes, and reducing health-care costs by lowering the number of prescription errors.

The researchers went through more than 40 million prescriptions. They found that patient adherence to medication programs is much higher when doctors use electronic prescription tools to hand out prescriptions. The adherence rate was about 10% higher when doctors used electronic prescription systems.

There is a simple enough reason for this. Patients, who get electronic prescriptions are less likely to lose their prescription, or abandon the prescription. Additionally, patients are much more likely to stick to a medication program, when medications are cost effective. Electronic prescription systems allow a doctor to check the prices of medications before prescribing them. Additionally, electronic prescription systems give a doctor access to other important data like the patient's insurance status and medication history. This helps the physician make cost-effective prescription decisions for the patient.

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Another Birth Control Pill Recall

February 29, 2012

A large number of birth control pills produced in India to be distributed in the Atlanta and other parts of the US have been recalled because of a packaging mistake that could render the pills useless. Health authorities in the US said Monday that Glenmark Generics, Inc. USA recalled seven lots of generic norgestimate and ethinyl estradiol tablets. The pills were sent to wholesale and retail pharmacies across the US between September of 2011 and December of 2011.

This packaging error has disrupted the daily regimen required for the oral contraceptive to work. It’s not known how many packets are affected by the mistake. Some of the pills were as much as 180 degrees out of their usual place thus causing the lot number and expiration date to be seen only on the outer pouch. The pills need to remain in sequential order to maintain the daily regimen.

Doctors are advising women who take these pills to immediately start using a non-hormonal form of birth control. Woman are also advised to inform their healthcare provider immediately and take a pregnancy test if the experience any pregnancy symptoms.

This is the third recall in the US concerning a birth control product in the last six months. In February, Pfizer had to recall one million packages of birth control pills because of a similar packaging error. And in September of 2011, Qualitest in Alabama recalled 1.4 million packets of their birth control pills.

Safety of NuvaRing and other Contraceptives in Question

February 27, 2012

Safety, dependability, and ease of use are what most women look for in a contraceptive. However, numerous lawsuits have been filed against NuvaRing and other drug companies claiming that some forms of birth control are not as safe as women think they are.

Some lawsuits have been filed claiming that women have been seriously injured after using NuvaRing birth control. While other lawsuits have been filed claiming that young women have died after using the contraceptive. Other lawsuits claim that consumers were not amply cautioned about the increased danger linked with the birth control.

NuvaRing has a mixture of Desogestrel and ethinyl estradiol. A study by the US Food and Drug Administration (FDA) found that the chance of having a cardiovascular episode was greater when woman used a contraceptive that contained 30 – 40 microgram of ehinyl estradiol, which NuvaRing has.

Hormones in NuvaRing can also cause a user's blood to clot easier. Blood clots that form in the legs can travel to the lungs and block vessel carrying blood to the lungs.

Some are extremely critical of third and fourth generation forms of birth control because they believe that second generation forms of birth control are safer and just as effective. And they stress that Desogestrel is linked to a greater risk of venous thromboembolism, which can be fatal.

The FDA has begun listening to the fears and concerns over certain forms of birth control. At an advisory committee meeting this past December, the FDA listened to the testimony of parents of a 24-year-old woman who died. The parents believe their daughter developed a pulmonary embolism from using NuvaRing.


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Top Reasons for Atlanta Pharmacy Errors

December 27, 2011

Surprisingly, more than 1.5 million Americans are hurt annually as a direct result of medication mistakes. As healthcare professionals, pharmacists are responsible for counseling patients about their medications in addition to compounding and dispensing medications. And though pharmacists are well-trained individuals, most medication mistakes can only be attributed to human error.

Doctors, for example, are infamous for having illegible handwriting. And though a doctor may prescribe the right medication for a patient, the pharmacist may not be able to decipher it correctly. Sometimes a doctor’s office will place the prescription with the pharmacy via the telephone on behalf of the patient. Nonetheless, mistakes in communication can occur between the caller and the receiver.

Pharmacist negligence can also result when pharmacists or pharmacy technicians dispense the wrong medication, the incorrect dosage of medication, or place inaccurate instructions on the vial or container of the medication. Many of these mistakes happen when pharmacists or their technicians are inattentive to their work or simply succumb to the monotony of the work involved.

Here in Atlanta, we are currently experiencing a shortage of competent pharmacists. And while the available pharmacists are being overworked to compensate for this shortage, pharmacy technicians are being over used. Pharmacists are required to supervise technicians. However, a surprising number of medication mistakes are caused each year by a lack of proper supervision.

In addition, pharmacists must ensure that patients understand:

-what medication has been prescribed
-why it has been prescribed
-how it is to be taken
-any and all possible side effects associated with the medication.

Pharmacists must also discern possible drug interactions. For instance, if a patient currently takes a prescribed drug, introduction of another drug may conflict with the preceding prescription. Failure to detect drug interactions can have dire consequences to the safety and well being of the patient. For example, if a patient is taking coumadin (a blood thinner) and is subsequently prescribed many types of antibiotics, the antibiotics cause the coumadin to thin the blood too much--often resulting in serious bleed-related injuries or death.

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Federal Study Indicates Spike in Medication Errors

April 17, 2011

According to a study by the Agency for Healthcare Research and Quality, there has been a 50% increase in the number of medication errors reported from around the country. Five years after a report by the Institute of Medicine warned that medication errors contributed to a $3.5 billion bill in medical costs, lost wages and other related expenses every year, the number of medication errors injuring people every year has not dropped, but has actually increased. This should concern any Atlanta pharmacy error lawyer.

What’s worse is that the number of medication errors could actually be higher than the report claims. The report only considered those mistakes that left people ill enough to rush to a hospital or emergency room.

According to the study, most cases of medication errors are related to the use of corticosteroids. These are followed by cancer drugs, hypertension drugs, cardiac medications and blood thinners. Elderly persons above the age of 65 are more susceptible to medication errors. Teenagers and children are also at a higher risk of medication errors than adults. About one in every five patients who suffer from medication errors, is a teenager or a child.

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New Study Offers Hope for Prescription Errors

February 17, 2011

Patients in Atlanta hospitals can be given any number of drug combinations to deal with multiple issues. Some medications, safe and effective alone, can have dangerous consequences as drug combinations. Also, an important area of Medical Malpractice is plain pharmacy error. Sometimes pharmacists put the wrong pills in the bottle. This can also have disastrous consequences.

News RX reports that a study released in the Critical Care Medicine Journal has found including an on-ward pharmacist on the Intensive Care Unit (ICU) team significantly reduced prescription error and related patient harms. The study was instituted by J.E. Klopotowska of the University of New Amsterdam.

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Darvon Painkillers Pulled From Market by Order of FDA

November 20, 2010

On Friday, the FDA announced that the maker of Darvon (and the similar drug, Darvocet) has voluntarily stopped all marketing of the drugs in the United States. Both drugs have been accused of causing deadly side-effects for decades. The reason for the current recall: A cardiac study conducted by the manufacturer at the FDA's bequest showed that Darvon caused irregular heart rhythms. In other words, the doses of Darvon and Darvocet normally prescribed by doctors and taken by patients is harmful to the heart. Couple this with the unacceptable propensity of patients to abuse the drug (i.e., taking more than the prescribed amount) and the risk of heart damage is simply too great to keep the drug on the market.

This recall follows bans in England and the European Union based on a different reason: The long-held belief that the use of Darvon and Darvocet lead to unacceptable risks of suicides and overdoses. Many safety advocates in the U.S. have been calling for the ban of these drugs since at least 1978, but the FDA has refused until now.

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Top 10 Prescription Errors and How to Prevent These

May 21, 2010

Every year, approximately 100,000 people are killed from prescription errors. We lose far fewer people to highway accidents every year, and yet, there is far more federal money spent in preventing highway traffic fatalities.

Eliminating human error from the doctor-pharmacist-patient chain may be hard, but not impossible. In the meantime, there are steps that you can take to prevent the 10 most common prescription errors.

According to Caring.com, the 10 most common prescription errors are:

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Poorly Translated Prescriptions Increase Error Risks

May 19, 2010

A study published in the May issue of the journal Pediatrics says that Spanish-speaking people in the United States are a higher risk of injury from prescription errors, because of poor translation. These errors are occurring in large numbers, because the computer programs that pharmacies rely on to translate prescriptions, are vastly inadequate.

The researchers surveyed several pharmacies in the New York City area. They found that four out of every five pharmacies, depended on computers to translate prescriptions. Almost all of them claimed that they got the prescriptions rechecked manually, but the researchers found far too many errors in translation.

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Atlanta Prescription Error--Is it Pharmacy Malpractice?

February 16, 2010

Atlanta Pharmacies are subject to regulation by the Georgia Board of Pharmacy. As an experienced Georgia injury lawyer, I have handled a number of prescription misfill cases that have resolved successfully. Today, I will break down the basics of a pharmacy malpractice case in Georgia.

What is the basis for a Georgia Pharmacy Malpractice claim? Under the requirements of the Georgia Board of Pharmacy, a pharmacist is trained as to the proper dosage of drugs, and has available to her the same texts and references as those utilized by doctors. These references clearly cover potential drug interactions, side effects and warnings for each drug.

What is the pharmacist's duty? A pharmacist is responsible for interpreting prescriptions and to consult with the prescriber (the doctor) if there is any doubt as to the prescription. Potential doubt includes not being certain about which medication is being prescribed, at what dose and how it should be applied. Any doubt should be resolved by the pharmacist communicating with the doctor to ascertain this information.

The pharmacist's failure to comply with this duty to interpret leads to most prescription misfills and related malpractice claims against pharmacists and the drug stores for whom they work. [In Atlanta, Georgia, most prescriptions are filled by Walgreens, CVS, Target, RiteAid, Kroger or Publix. Although quite a few more are filled at pharmacies located inside hospitals].

When a prescription is filled incorrectly due to misinterpretation of the prescription, the pharmacist generally is at fault because the pharmacist is the last link in the drug distribution channel. In other words, the pharmacist has the last chance to catch any error. Almost every pharmacist malpractice case that I have handled as a Georgia injury lawyer could have been prevented if the pharmacist had simply taken the time to verify the prescription with the patient or double checking to make sure the drug being dispensed is appropriate to treat the patient's condition. The failure to do this is the foundation of almost all malpractice suits against Atlanta area pharmacies.