A*i
发帖数: 42 | 1 不知怎麽搞得，打出來的居然是繁體，大家湊和看吧。
Mannon Shroff的習題裏提到發錯葯后，patient來complain時，pharmacist要如何對待
，好像說的很輕鬆，要先acknowledge his frustration, 表示同情等等，也沒見書上
有任何地方提到pharmacist會如何被sue.
我就覺得疑惑，難道發錯葯就會那麽輕鬆過關，給病人換一下就可以了？ 我上次看到
本州一些藥劑師的紀錄上都會notes, 比如有個藥劑師把葯發給了同名同姓的另一個病
人，其實這種情況真的挺怨的， 當然藥劑師應該問一下病人拿的是啥葯，但是我平時
自己去藥店取葯時，經常踫到藥劑師只是問我有沒有問題的， 我回答沒，就走了。另
外還有個Pharamcy manager gets notes on her credential because the computer
system allows the pharmacy tech to skip the warning on the dosage, therefore
the pharmacist didn't see the w | u*****d
发帖数: 1009 | 2 Pharmacists all have to buy liability insurance, so in case you get sued,
you're still covered.
I don't really know how this insurance thing works and what actually
happends if you make a mistake and get sued.
Your question is a good question for pharmacists on this board who're
actively practicing to answer.
therefore
【在 A*i 的大作中提到】
: 不知怎麽搞得，打出來的居然是繁體，大家湊和看吧。
: Mannon Shroff的習題裏提到發錯葯后，patient來complain時，pharmacist要如何對待
: ，好像說的很輕鬆，要先acknowledge his frustration, 表示同情等等，也沒見書上
: 有任何地方提到pharmacist會如何被sue.
: 我就覺得疑惑，難道發錯葯就會那麽輕鬆過關，給病人換一下就可以了？ 我上次看到
: 本州一些藥劑師的紀錄上都會notes, 比如有個藥劑師把葯發給了同名同姓的另一個病
: 人，其實這種情況真的挺怨的， 當然藥劑師應該問一下病人拿的是啥葯，但是我平時
: 自己去藥店取葯時，經常踫到藥劑師只是問我有沒有問題的， 我回答沒，就走了。另
: 外還有個Pharamcy manager gets notes on her credential because the computer
: system allows the pharmacy tech to skip the warning on the dosage, therefore
| c*****4
发帖数: 44 | 3 应该查对 姓名+生日,一般可以避免大部分错误.
在out-patient pharmacy, 药师还应该问3 prime questions.
1. What did your doctor tell you the medicine is for?
2. How did your doctor tell you to take this medicine?
3. What did your doctor tell you expect?
如果出了错误,要向病人道歉,并解释清楚,尽量避免纠纷扩大化.只要让病人满意,不去
Board of Pharmacy complain,就没什么问题.
如果有complain,Board会依据法律采取措施. 各州法律不同,惩罚措施也不一样.
例如
TX--"事不过三"
NY--"有错必查"
想Sue Pharmacist需要同时满足两个条件
1. gross incompetence and/or gross negligence
2. patient harm
否则很难. | u*****d
发帖数: 1009 | 4 In my opinion, if it's a refill prescription, then those 3 questions can be
very repetitive, 'cuz some ppl might have been taking a certain medication
for many years.
Checking birthday is very important, another good idea for refill
prescriptions is opening the bottle and asking the patient whether the drug
looks familiar to the patient. Believe it or not, patients might not
remember the names of their medications but they remember how they look like
, and you can catch errors this way.
【在 c*****4 的大作中提到】
: 应该查对 姓名+生日,一般可以避免大部分错误.
: 在out-patient pharmacy, 药师还应该问3 prime questions.
: 1. What did your doctor tell you the medicine is for?
: 2. How did your doctor tell you to take this medicine?
: 3. What did your doctor tell you expect?
: 如果出了错误,要向病人道歉,并解释清楚,尽量避免纠纷扩大化.只要让病人满意,不去
: Board of Pharmacy complain,就没什么问题.
: 如果有complain,Board会依据法律采取措施. 各州法律不同,惩罚措施也不一样.
: 例如
: TX--"事不过三"
| c*****4
发帖数: 44 | 5 True, most people would not use 3 prime questions for refills.
Using 2 patient identifiers (most likely name + birthday) is required in
hospital/institution practice.
It's a good idea to check with the patient. However, ISMP was strongly
against using color/shape to identify a medication unless you were comparing
to a picture in an active database.
be
drug
like
【在 u*****d 的大作中提到】
: In my opinion, if it's a refill prescription, then those 3 questions can be
: very repetitive, 'cuz some ppl might have been taking a certain medication
: for many years.
: Checking birthday is very important, another good idea for refill
: prescriptions is opening the bottle and asking the patient whether the drug
: looks familiar to the patient. Believe it or not, patients might not
: remember the names of their medications but they remember how they look like
: , and you can catch errors this way.
| k******o
发帖数: 3328 | 6 pharmacist又不是神,是人就会出错.你想一想我算你25-30年的professional life,每
天fill 100-150单,(忙的店更多),怎么可能不出错呢?只是你够不够lucky的问题.原则
是1不死人,2不个人被sue就没有问题的. | f*******e
发帖数: 689 | 7 As long as it doesn't hurt patients or pharmacist isn't sued by patients, it
is fine. I used to work at very heavy volume retail pharmacy (over 600
prescriptions daily). We make errors quite offen, wrongly counting, wrong
med (strength). Fortunately, all errors didn't hurt patients seriously.
Patients still trust us. | u*****d
发帖数: 1009 | 8 we dispensed the wrong strength of xanax to a patient the other day, but the
patient caught the mistake before taking it at home. The prescription was
entered wrong from the very beginning, one could only imagine how many
mistakes go undetected everyday.
it
【在 f*******e 的大作中提到】
: As long as it doesn't hurt patients or pharmacist isn't sued by patients, it
: is fine. I used to work at very heavy volume retail pharmacy (over 600
: prescriptions daily). We make errors quite offen, wrongly counting, wrong
: med (strength). Fortunately, all errors didn't hurt patients seriously.
: Patients still trust us.
| A*i
发帖数: 42 | 9 多謝大家的comments, 受益匪淺，已經save! 期待更多的金玉良言 ：） |
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