Where poorly designed systems harms/kills pts ?

http://emilyjerryfoundation.org/

This is about a very sad story about the loss of a beautiful 2 y/o due to a technician mistake, that the pharmacist didn’t catch.  This was apparently mostly because of a poor designed system.. that was having a “bad day”…

Pharmacists are relying more and more on technicians to help get prescriptions filled correctly. Unfortunately, not every state has good or even decent qualifications for technicians… on the above website link.. is a map of the US and the rating of how states deal with technician certification – if any.

EIGHT STATES rated a “F”… FOUR MORE STATES were so bad.. they couldn’t even be rated a “F”.. another SIX STATES rated a “D”..  That is ONE-THIRD of our states that rated “D” or LOWER in the quality of  pharmacy technicians and/or their training/certification requirements.

Pharmacy chains are lobbying for increasing how many technicians that one Pharmacist may legally oversee…  and those numbers go all the way up to UNLIMITED.  Imagine having to be responsible for a unlimited number of ancillary technicians..  of varying capabilities… and everything that they say or do… without letting a mistake from one of these technicians slip past.

 

 

 

2 Responses

  1. It would not be a bad idea to post this story in your pharmacy and look at it at the start of every shift

  2. Thank you for posting this blog. We must never forget that there is a patient on the other end of each prescription order.

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