Dispensing Errors and Consequences

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What is the main focus of learning outcomes for Week 26?

List the possible consequences of dispensing errors

Describe the action that should be taken when an error is made

Be aware of the types of errors that can occur when dispensing a prescription (correct)

Understand why reporting of errors and reflecting on them is good professional practice

What was the prescription for Mrs. Rosie Red?

Amitriptyline tablets 10mg - Take up to FIVE at night

Amitriptyline tablets 20mg - Take up to THREE at night

Amitriptyline tablets 15mg - Take up to THREE at night

Amitriptyline tablets 10mg - Take up to THREE at night (correct)

Which of the following is NOT a type of dispensing error mentioned in the text?

Dispensing the correct medicine but the wrong strength or form (correct)

Dispensing a medicine that has expired

Picking error dispensing a different medicine

Dispensing the correct medicine but the wrong quantity

What is emphasized as good professional practice regarding dispensing errors?

Reporting errors and reflecting on them Signup and view all the answers

What should be done when an error is made while dispensing medication?

Report the error and reflect on it Signup and view all the answers

What action would constitute the worst course of action when an error is made?

Ignoring the error and hoping it goes unnoticed Signup and view all the answers

Which type of dispensing error accounts for 23% of errors reported to the National Pharmacy Association?

Similar medicine names or packaging Signup and view all the answers

What should pharmacists do to prevent look-alike-sound-alike (LASA) errors?

Be aware of common culprits and always double/triple check these medicines Signup and view all the answers

Which organization may investigate a dispensing error as a Fitness to Practise issue?

General Pharmaceutical Council Signup and view all the answers

What was the cause of the dispensing error that resulted in the death of Ethna Walsh?

Similar medicine names or packaging Signup and view all the answers

What should be done to ensure correct stock rotation and check expiry dates as part of the dispensing final check procedure?

Have a regular date checking procedure to remove out of date stock Signup and view all the answers

What is the potential consequence if a pharmacist makes a dispensing error?

The patient may sue for damages and claim negligence Signup and view all the answers

What is the most common type of dispensing error according to data from 2005-2010?

Wrong dose/strength Signup and view all the answers

What type of error accounts for 12% of reported incidents according to data from 2005-2010?

Wrong formulation Signup and view all the answers

What percentage of errors reported did not result in any harm according to data from 2005-2010?

Less than 1% Signup and view all the answers

What was Martin White's explanation for the dispensing error that led to Ethna Walsh's death?

The packaging was similar and they were next to each other on the shelf. Signup and view all the answers

What kind of checking procedure should be implemented to prevent out of date stock and flag stock that is soon to go out of date?

Have a regular date checking procedure to remove out of date stock. Signup and view all the answers

What did the pharmacist do when the mother confronted him about the incorrect dose?

He denied the mistake and insisted that the dose was correct Signup and view all the answers

What was the pharmacist's behavior when he returned to the mother's house later that evening?

He attempted to cover up the error by providing false information Signup and view all the answers

What is the meaning of 'duty of candor' as mentioned in the context?

Acting with openness and honesty towards patients Signup and view all the answers

How did the GPhC view cases involving elements of dishonesty?

As serious matters that impact public confidence Signup and view all the answers

What was the outcome for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?

He was suspended from the register for 4 months Signup and view all the answers

What action does the 'duty of candour' require healthcare professionals to take?

To apologize and offer an appropriate remedy or support to patients when something goes wrong Signup and view all the answers

What did the GPhC emphasize about responding to complaints and concerns?

To respond politely and openly to complaints and concerns Signup and view all the answers

What was described as the absolute key priority in handling any error according to the GPhC?

Ensuring patient safety Signup and view all the answers

'Every dispensing error carries a risk to the public' - What did the Chairman emphasize in this statement?

'Public safety is paramount in pharmacy practice' Signup and view all the answers

'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?

'Acting openly and honestly about errors made' Signup and view all the answers

What was considered as a better approach when making a dispensing error according to the GPhC?

Being honest about the error and taking immediate action Signup and view all the answers

What are the possible consequences of a dispensing error?

Harm to the patient, including death, due to incorrect medication being dispensed Signup and view all the answers

What is considered a common type of error when dispensing medication?

Dispensing the correct medicine but the wrong quantity Signup and view all the answers

What is the most appropriate professional practice when a dispensing error occurs?

Reflect on the error and report it to the appropriate authorities for accountability and learning Signup and view all the answers

What is emphasized as the worst course of action when a dispensing error is made?

Attempting to cover up or hide the error Signup and view all the answers

What should be the pharmacist's immediate response when an error is made while dispensing medication?

Report the error to appropriate authorities and reflect on it for learning Signup and view all the answers

What type of error involves dispensing a medicine with an incorrect dose, patient name, or drug strength?

Labelling error Signup and view all the answers

What was the consequence for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?

He was suspended from the register for 4 months Signup and view all the answers

Which type of error accounts for 12% of reported incidents according to data from 2005-2010?

Labeling errors Signup and view all the answers

'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?

They should be open and honest about errors with the patient Signup and view all the answers

What is emphasized as good professional practice regarding dispensing errors?

Reporting errors and taking immediate action Signup and view all the answers

What is the potential consequence if a pharmacist makes a dispensing error?

Facing suspension or other disciplinary action Signup and view all the answers

'Every dispensing error carries a risk to the public' - What did the Chairman emphasize in this statement?

The severity of dispensing errors Signup and view all the answers

'Duty of candor' means that healthcare professionals must:

Be open and honest about errors with the patient Signup and view all the answers

'Half a 5ml spoonful to be taken three times a day' - What type of error does this represent?

Labeling error Signup and view all the answers

'Every dispensing error carries a risk to the public, but the weight of this case is not the dispensing error but that he dishonestly tried to cover it up when confronted with it' - What did the Chairman emphasize in this statement?

The severity of dispensing errors regardless of intent Signup and view all the answers

What was considered as a better approach when making a dispensing error according to the GPhC?

Admitting to the error and taking immediate corrective action Signup and view all the answers

Which organization may investigate a dispensing error as a Fitness to Practise issue?

GPhC (General Pharmaceutical Council) Signup and view all the answers

What is the potential consequence if a pharmacist makes a dispensing error?

The patient may sue for damages and claim the pharmacist was negligent Signup and view all the answers

Which type of error accounts for 12% of reported incidents according to data from 2005-2010?

Wrong formulation Signup and view all the answers

What action does the 'duty of candour' require healthcare professionals to take?

To inform patients or their families when something goes wrong in their care Signup and view all the answers

What percentage of errors reported did not result in any harm according to data from 2005-2010?

Less than 1% Signup and view all the answers

What should be done to ensure correct stock rotation and check expiry dates as part of the dispensing final check procedure?

Have a regular date checking procedure and remove out of date stock Signup and view all the answers

What was considered as a better approach when making a dispensing error according to the General Pharmaceutical Council?

To learn from errors and try to ensure they don’t happen again Signup and view all the answers

'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?

To inform patients or their families when something goes wrong in their care Signup and view all the answers

List the four most common types of errors that can occur when dispensing a prescription.

Picking error, counting error, labelling error, dispensing a medicine that has expired Signup and view all the answers

What is the worst course of action to take when an error is made during dispensing medication?

Not informing the patient and trying to cover up the error Signup and view all the answers

Describe, in broad terms, the action that should be taken when an error is made while dispensing medication.

Inform the patient, report the error, and reflect on the error as good professional practice Signup and view all the answers

What are the possible consequences of a dispensing error?

Harm to the patient, legal consequences, impact on professional reputation Signup and view all the answers

What is the meaning of 'duty of candor' as mentioned in the context?

The obligation for healthcare professionals to be open and honest about any error or incident Signup and view all the answers

What type of error accounts for 23% of errors reported to the National Pharmacy Association?

Picking error Signup and view all the answers

What was the most common type of dispensing error reported from 2005-2010?

Wrong dose/strength Signup and view all the answers

What percentage of errors reported from 2005-2010 did not result in any harm?

92% Signup and view all the answers

What is the consequence of making a dispensing error according to the text?

It is a criminal offence and may lead to prosecution Signup and view all the answers

What is the main reason for keeping records of near misses and dispensing errors?

To learn from errors and prevent them from happening again Signup and view all the answers

What type of dispensing error accounts for 23% of errors reported to the National Pharmacy Association?

Look-alike-sound-alike (LASA) errors Signup and view all the answers

In the real-life example of Martin White, what was the dispensed medication that led to the patient's death?

Propranolol Signup and view all the answers

What is the potential consequence of using out-of-date medicines?

They may be ineffective Signup and view all the answers

What is the recommended solution for preventing incorrect calculations when dispensing medication?

Get someone else to check the calculation or take a short break and do it again Signup and view all the answers

What is emphasized as the solution for misreading prescriptions?

Asking another person to read the prescription Signup and view all the answers

What was the outcome for the baby in the 'Peppermint Water Case' described in the text?

The baby died as a result of severe brain damage Signup and view all the answers

In the 'Peppermint Water Case', what was the incorrect calculation related to?

Dilution calculation Signup and view all the answers

What was the age of the patient in the 'Lucas Holzscheiter London Hospital' case?

7 and a half months old Signup and view all the answers

What was the consequence for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?

The pharmacist was suspended from the register for 4 months Signup and view all the answers

What did the Chairman emphasize in the statement 'Every dispensing error carries a risk to the public'?

The weight of this case is not the dispensing error but that he dishonestly tried to cover it up when confronted with it Signup and view all the answers

What was the mother advised to do after the pharmacist admitted to not speaking to the doctor?

The mother immediately took the baby to A&E Signup and view all the answers

What is the meaning of 'duty of candor' as mentioned in the context?

Acting with openness and honesty Signup and view all the answers

What did the GPhC consider cases involving elements of dishonesty as?

The GPhC consider cases involving elements of dishonesty as very serious Signup and view all the answers

What action does the 'duty of candour' require healthcare professionals to take?

Tell the patient when something has gone wrong, apologize, offer an appropriate remedy or support, and explain fully to the patient the short- and long-term effects Signup and view all the answers

What was the Chairman's assessment of the pharmacist's behavior when he returned to the mother's house later that evening?

The Chairman called the pharmacist’s behavior ‘disgraceful and wholly inappropriate’ Signup and view all the answers

What is emphasized as good professional practice regarding dispensing errors?

Responding honestly, openly, and politely to complaints and concerns Signup and view all the answers

What should be the pharmacist's immediate response when an error is made while dispensing medication?

Take immediate action as soon as the error is identified Signup and view all the answers

What was the Chairman's view of the pharmacist's behavior in the Ranitidine case?

The Chairman called the pharmacist’s behavior ‘disgraceful and wholly inappropriate’ Signup and view all the answers

What was the outcome for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?

The pharmacist was suspended from the register for 4 months Signup and view all the answers

What is emphasized as the worst course of action when a dispensing error is made?

Trying to cover it up or ignore it Signup and view all the answers

Dispensing Errors and Consequences

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Questions and Answers

What is the main focus of learning outcomes for Week 26?

What was the prescription for Mrs. Rosie Red?

Which of the following is NOT a type of dispensing error mentioned in the text?

What is emphasized as good professional practice regarding dispensing errors?

What should be done when an error is made while dispensing medication?

What action would constitute the worst course of action when an error is made?

Which type of dispensing error accounts for 23% of errors reported to the National Pharmacy Association?

What should pharmacists do to prevent look-alike-sound-alike (LASA) errors?

Which organization may investigate a dispensing error as a Fitness to Practise issue?

What was the cause of the dispensing error that resulted in the death of Ethna Walsh?

What should be done to ensure correct stock rotation and check expiry dates as part of the dispensing final check procedure?

What is the potential consequence if a pharmacist makes a dispensing error?

What is the most common type of dispensing error according to data from 2005-2010?

What type of error accounts for 12% of reported incidents according to data from 2005-2010?

What percentage of errors reported did not result in any harm according to data from 2005-2010?

What was Martin White's explanation for the dispensing error that led to Ethna Walsh's death?

What kind of checking procedure should be implemented to prevent out of date stock and flag stock that is soon to go out of date?

What did the pharmacist do when the mother confronted him about the incorrect dose?

What was the pharmacist's behavior when he returned to the mother's house later that evening?

What is the meaning of 'duty of candor' as mentioned in the context?

How did the GPhC view cases involving elements of dishonesty?

What was the outcome for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?

What action does the 'duty of candour' require healthcare professionals to take?

What did the GPhC emphasize about responding to complaints and concerns?

What was described as the absolute key priority in handling any error according to the GPhC?

'Every dispensing error carries a risk to the public' - What did the Chairman emphasize in this statement?

'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?

What was considered as a better approach when making a dispensing error according to the GPhC?

What are the possible consequences of a dispensing error?

What is considered a common type of error when dispensing medication?

What is the most appropriate professional practice when a dispensing error occurs?

What is emphasized as the worst course of action when a dispensing error is made?

What should be the pharmacist's immediate response when an error is made while dispensing medication?

What type of error involves dispensing a medicine with an incorrect dose, patient name, or drug strength?

What was the consequence for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?

Which type of error accounts for 12% of reported incidents according to data from 2005-2010?

'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?

What is emphasized as good professional practice regarding dispensing errors?

What is the potential consequence if a pharmacist makes a dispensing error?

'Every dispensing error carries a risk to the public' - What did the Chairman emphasize in this statement?

'Duty of candor' means that healthcare professionals must:

'Half a 5ml spoonful to be taken three times a day' - What type of error does this represent?

'Every dispensing error carries a risk to the public, but the weight of this case is not the dispensing error but that he dishonestly tried to cover it up when confronted with it' - What did the Chairman emphasize in this statement?

What was considered as a better approach when making a dispensing error according to the GPhC?

Which organization may investigate a dispensing error as a Fitness to Practise issue?

What is the potential consequence if a pharmacist makes a dispensing error?

Which type of error accounts for 12% of reported incidents according to data from 2005-2010?

What action does the 'duty of candour' require healthcare professionals to take?

What percentage of errors reported did not result in any harm according to data from 2005-2010?

What should be done to ensure correct stock rotation and check expiry dates as part of the dispensing final check procedure?

What was considered as a better approach when making a dispensing error according to the General Pharmaceutical Council?

'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?

List the four most common types of errors that can occur when dispensing a prescription.

What is the worst course of action to take when an error is made during dispensing medication?

Describe, in broad terms, the action that should be taken when an error is made while dispensing medication.

What are the possible consequences of a dispensing error?

What is the meaning of 'duty of candor' as mentioned in the context?

What type of error accounts for 23% of errors reported to the National Pharmacy Association?

What was the most common type of dispensing error reported from 2005-2010?

What percentage of errors reported from 2005-2010 did not result in any harm?

What is the consequence of making a dispensing error according to the text?

What is the main reason for keeping records of near misses and dispensing errors?

What type of dispensing error accounts for 23% of errors reported to the National Pharmacy Association?

In the real-life example of Martin White, what was the dispensed medication that led to the patient's death?

What is the potential consequence of using out-of-date medicines?

What is the recommended solution for preventing incorrect calculations when dispensing medication?

What is emphasized as the solution for misreading prescriptions?

What was the outcome for the baby in the 'Peppermint Water Case' described in the text?

In the 'Peppermint Water Case', what was the incorrect calculation related to?

What was the age of the patient in the 'Lucas Holzscheiter London Hospital' case?

What was the consequence for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?

What did the Chairman emphasize in the statement 'Every dispensing error carries a risk to the public'?

What was the mother advised to do after the pharmacist admitted to not speaking to the doctor?

What is the meaning of 'duty of candor' as mentioned in the context?

What did the GPhC consider cases involving elements of dishonesty as?

What action does the 'duty of candour' require healthcare professionals to take?