Patient was switched to Yes Drug dose different insulin product but prescribing error dose adjustment was not written on the prescription. Wrong dose Patient administered the administered wrong dose and experienced Hypoglycaemia hypoglycaemia. Patient was prescribed 2 Yes Drug dose times the appropriate dose prescribing error due to computerised prescriber order entry CPOE error (CPOE) error Patient with intractable Unknown Contraindicated drug LLT Seizures should be seizures and taking prescribed captured as medical history multiple drugs was prescribed a contraindicated drug Patient was prescribed 0.5 Unknown No event to code based on mg to be taken by splitting the stated information. It is the 1 mg tablet not known if this is a prescribing error, off label use, or neither. If this is the ONLY information, this is not a case and should not be recorded. Patient prescribed 1 tablet Unknown Inappropriate daily for insomnia for many prescribing years. The product directions state that the product should not be taken for more than 2 weeks. Patient hospitalised for Unknown Opiate withdrawal withdrawal symptoms after symptoms his unspecified opioids were inappropiately Inappropriate drug downtitrated titration Patient prescribed 0.25 mg No Off label dosing (off-label starting dose) Physician ordered the Yes Incorrect drug wrong rate of administration rate administration for the IV
Patient was switched to different insulin product but dose adjustment was not written on the prescription. Patient administered the wrong dose and experienced hypoglycaemia. Yes Drug dose prescribing error Wrong dose administered Hypoglycaemia Patient was prescribed 2 times the appropriate dose due to computerised prescriber order entry (CPOE) error Yes Drug dose prescribing error CPOE error Patient with intractable seizures and taking multiple drugs was prescribed a contraindicated drug Unknown Contraindicated drug prescribed LLT Seizures should be captured as medical history Patient was prescribed 0.5 mg to be taken by splitting the 1 mg tablet Unknown No event to code based on the stated information. It is not known if this is a prescribing error, off label use, or neither. If this is the ONLY information, this is not a case and should not be recorded. Patient prescribed 1 tablet daily for insomnia for many years. The product directions state that the product should not be taken for more than 2 weeks. Unknown Inappropriate prescribing Patient hospitalised for withdrawal symptoms after his unspecified opioids were inappropiately downtitrated Unknown Opiate withdrawal symptoms Inappropriate drug titration Patient prescribed 0.25 mg (off-label starting dose) No Off label dosing Physician ordered the wrong rate of administration for the IV Yes Incorrect drug administration rate
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