Švitrigailė Grincevičienė1, Jelena Volochovič2, Jonas Grincevičius3. 1. Department of Biothermodynamics and Drug Design, Institute of Biotechnology, Vilnius University, V. Graičiūno 8, 02241, Vilnius, Lithuania. svitrigaile@gmail.com. 2. Centre of Obstetrics and Gynaecology, Hospital "Santariškių Klinikos", Vilnius University, Santariškių st. 2, 08661, Vilnius, Lithuania. 3. Department of Drug Technology and Social Pharmacy, Faculty of Pharmacy, Lithuanian University of Health Sciences, Sukilėlių ave. 13, 50161, Kaunas, Lithuania.
Abstract
CASE: The consequences of medication errors can be serious, especially in pregnant women. When decision-making is critical, physician-pharmacist communication has the potential to improve patient safety. In this report, we describe the case of a pregnant woman who developed oligohydramnios after taking nimesulide for neuropathic pain. The drug was improperly prescribed by a family physician and mistakenly dispensed by a community pharmacist. Oligohydramnios was observed during ultrasound examination and an iatrogenic cause was suspected. This case is presented to raise awareness that patient safety is threatened because of a lack of physician-pharmacist communication, especially for pregnant patients. CONCLUSION: Healthcare professionals are continually at-risk for making errors at work. Effective inter-professional communication should be an organisational tool to prevent adverse events for pregnant women.
CASE: The consequences of medication errors can be serious, especially in pregnant women. When decision-making is critical, physician-pharmacist communication has the potential to improve patient safety. In this report, we describe the case of a pregnant woman who developed oligohydramnios after taking nimesulide for neuropathic pain. The drug was improperly prescribed by a family physician and mistakenly dispensed by a community pharmacist. Oligohydramnios was observed during ultrasound examination and an iatrogenic cause was suspected. This case is presented to raise awareness that patient safety is threatened because of a lack of physician-pharmacist communication, especially for pregnant patients. CONCLUSION: Healthcare professionals are continually at-risk for making errors at work. Effective inter-professional communication should be an organisational tool to prevent adverse events for pregnant women.
Authors: Christine Chang Pecci; Thomas C Hines; Charles T Williams; Larry Culpepper Journal: J Am Board Fam Med Date: 2012 Jul-Aug Impact factor: 2.657
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