recommended storage Pharmacy label placed information. Product incorrectly stored at wrong temperature. Product storage Monitoring errors/issues Scenario Medication LLT Comment error? Patient was hospitalized Yes Drug monitoring with thromboembolism procedure not because his INR wasn’t performed monitored as recommended in the Thromboembolism labelling Patient experienced Yes Labelled drug-drug rhabdomyolysis after interaction medication taking two drugs that are error labelled for a drug-drug interaction Rhabdomyolysis Literature report No Drug interaction hypothesised a possible drug interaction caused Hypotension the patient to experience hypotension Patient experienced type I Yes Hypersensitivity type I hypersensitivity after receiving amoxicillin during Documented surgery. The patient’s hypersensitivity to record had a administered drug documented history of amoxicillin allergy. The Device computer error was attributed to the software issue lack of interoperability between the anaesthesia software and the hospital’s e-health record.
recommended storage information. Product stored at wrong temperature. Pharmacy label placed incorrectly Product storage Monitoring errors/issues Scenario Medication error? LLT Comment Patient was hospitalized with thromboembolism because his INR wasn’t monitored as recommended in the labelling Yes Drug monitoring procedure not performed Thromboembolism Patient experienced rhabdomyolysis after taking two drugs that are labelled for a drug-drug interaction Yes Labelled drug-drug interaction medication error Rhabdomyolysis Literature report hypothesised a possible drug interaction caused the patient to experience hypotension No Drug interaction Hypotension Patient experienced type I hypersensitivity after receiving amoxicillin during surgery. The patient’s record had a documented history of amoxicillin allergy. The error was attributed to the lack of interoperability between the anaesthesia software and the hospital’s e-health record. Yes Hypersensitivity type I Documented hypersensitivity to administered drug Device computer software issue
000199_companionptc_r1_01_jun2018.docx