The Last Line of Defense Against Medication Errors

Written by Timothy McNamara, MD, MPH


This is a true story.

Yesterday, I picked up a new antibiotic prescription for my daughter from my local pharmacy.

(We recently adopted my daughter from India where she had recurrent ear infections resulting in severe hearing loss. And, she is about to undergorepparttar second of several planned surgeries in order to try to repairrepparttar 114972 damage.)

Before putting her to sleep, I gotrepparttar 114973 new medication out ofrepparttar 114974 bag, glanced atrepparttar 114975 instructions, and prepared to give herrepparttar 114976 drug according torepparttar 114977 instructions onrepparttar 114978 label.

Just before doing so, I had a quick double-take.

Something seemed to be wrong. I looked atrepparttar 114979 instructions again, and thought to myself slowly, “What’s going on…this doesn’t seem right.” Then, it hit me thatrepparttar 114980 dose seemed awfully high for her.

It took me a minute or two to putrepparttar 114981 pieces together (it had been an unusually tough fight getting her ready for bed, I was tired, I was confident in my daughter’s physician, and I was thinking perhaps less critically that I should have). And then I noticed it. The label had a stranger’s name on it.

After another moment or two, I saw what had really happened.

The medication came in a box. Each side ofrepparttar 114982 box had a different label...one label was for my daughter and one label was for a stranger. And,repparttar 114983 stranger’s dose was more than double what my daughter’s surgeon had recommended.

(This error didn’t happen in a mom-and-pop pharmacy. It happened in a modern new chain pharmacy whose name you would recognize from advertisements on TV.)

I’m not a surgeon…and I’m not a pediatrician…but I am a physician trained in internal medicine and I have spent most ofrepparttar 114984 last twelve years writing about, speaking about, and developing systems to reducerepparttar 114985 frequency of medication error and improverepparttar 114986 safety of pharmacy practice.

This pharmacy error broughtrepparttar 114987 topic of drug safety home to me…literally.

What I can tell you is that this sort of error occurs all too often inrepparttar 114988 United States (and aroundrepparttar 114989 world). And, that it can have devastating consequences forrepparttar 114990 people involved.

A recent study inrepparttar 114991 New England Journal of Medicine indicated that 25% of patients who take one or more prescription medications will experience an adverse drug event within three months—and 39% of these are preventable or avoidable.

The Harvard Medical Practice Study found reported in JAMA in 2001 that 30% of patients with drug-related injuries died or were disabled for more than 6 months.

And, what almost everyone who studies this problem agrees is that current systems for selecting drugs, dosing them, communicating a prescription to a pharmacy, dispensing drugs, and instructing patients on their safe use are woefully inadequate.

Lacking B Vitamins Can effect Your Moods

Written by Judi Singleton


We all know some foods are stimulants and some slow you down. But have you tried using these foods to effect your moods?

Gettingrepparttar Vitamins And Minerals one needs is ofrepparttar 114971 first concern Most people can get allrepparttar 114972 vitamins and minerals they need by eating

properly. The B complex is an extremely important group of nutrients

thatrepparttar 114973 body must acquire throughrepparttar 114974 diet or produce viarepparttar 114975

intestinal flora to enable it to transform food into energy, maintain a

strong immune system, balance many ofrepparttar 114976 body's hormones, and perform

a wide variety of other tasks.

Many things can contribute to vitamin B deficiencies. Eating Junk

foods and bread products high in sugar and white refined flour

processed foods (lack nutrients and may contain many additives also

fills one up and leaves no room for healthy foods. ), conventionally

grown produce (are sprayed with pesticides and stored for such long

lengths of time they lack nutrients byrepparttar 114977 time we buy them.), Using

alcohol (more than two drinks a day can deplete B vitamins.),living a

high stress lifestyle, environmental pollution, inadequate digestion,

malnutrition, illness, and a vegetarian or vegan diet can all

contribute.

Due torepparttar 114978 fact that a good percentage ofrepparttar 114979 U.S. population consumes

vitamin-deficient foods raised in vitamin deficient soils along with a

combination of one or more ofrepparttar 114980 aforementioned problems, vitamin B

deficiencies have become commonplace.

Some ofrepparttar 114981 problems one experiences with deficiencies are:mild to

severe depression,forgetfulness, vague fear, uneasiness to panic ,mood

swings,loss of ability to concentrate, fatigue, insomnia or sleep

disturbances. The richest food sources of B-1 are brewer’s or nutritional yeast,

brown rice, egg yolks, fish, legumes, liver, nuts, peas, poultry, rice

bran, dulse, kelp, spirulina, wheat germ and whole grains. A high

carbohydrate diet will increaserepparttar 114982 need for thiamin andrepparttar 114983 use of

antibiotics, sulfa drugs, and oral contraceptives may decreaserepparttar 114984

body's thiamin level.

The foods providingrepparttar 114985 highest levels of B-2 are brewer's or

nutritional yeast, almonds, wheat germ, wild rice, egg yolks, legumes,

liver, fish, and poultry. Niacin is found in brewer’s or nutritional yeast, liver, broccoli,

carrots, cheese, eggs, fish, raw milk, peanuts, potatoes, tomatoes,

dandelion greens, and wheat germ. Most fresh vegetables are good sources for B-5. Brewer's and

nutritional yeast, liver, eggs, mushrooms, avocados, broccoli, whole

grains, bran, peanuts, cashews, legumes, and soybeans are especially

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