prescribed a drug that is interaction contraindicated in renal medication error failure Documented Medical file clearly Patient is administered a hypersensitivity to indicates patient has a sulfonamide-based drug administered drug sulfa allergy 3.15.1.4 Do not infer a medication error Do not infer that a medication error has occurred unless specific information is provided. This includes inferring that extra dosing, overdose, or underdose has occurred. (See Section 3.18) Example Reported LLT Selected Comment LLT Taste bitter Antibiotic was prescribed Prescribed dosing duration represents a sensory for a week, and the patient not completed perception issue. LLT stopped treatment after 2 Taste bitter Medication after taste days because of bitter refers to a product taste quality issue Do not select Extra Incorrect dosing by patient Incorrect dose dose administered or administered Overdose based on this information alone Patient took only half the Underdose prescribed dose 3.15.2 Accidental exposures and occupational exposures 3.15.2.1 Accidental exposures The principles for Section 3.15.1 (Medication/administration errors) also apply to accidental exposures. Example Reported LLT Selected Comment Child accidentally took Accidental drug intake by grandmother’s pills and child
prescribed a drug that is contraindicated in renal failure interaction medication error Patient is administered a sulfonamide-based drug Documented hypersensitivity to administered drug Medical file clearly indicates patient has a sulfa allergy 3.15.1.4 Do not infer a medication error Do not infer that a medication error has occurred unless specific information is provided. This includes inferring that extra dosing, overdose, or underdose has occurred. (See Section 3.18) Example Reported LLT Selected Comment Antibiotic was prescribed for a week, and the patient stopped treatment after 2 days because of bitter taste Prescribed dosing duration not completed Taste bitter LLT Taste bitter represents a sensory perception issue. LLT Medication after taste refers to a product quality issue Incorrect dosing by patient Incorrect dose administered Do not select Extra dose administered or Overdose based on this information alone Patient took only half the prescribed dose Underdose 3.15.2 Accidental exposures and occupational exposures 3.15.2.1 Accidental exposures The principles for Section 3.15.1 (Medication/administration errors) also apply to accidental exposures. Example Reported LLT Selected Comment Child accidentally took grandmother’s pills and Accidental drug intake by child