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A Pharmacist Caught the Mistake No One Else Had Time to See

Sep 3

1 min read

The story

Wrong dose, wrong drug, look-alike names. Most near-misses never become stories because someone in a white coat refuses to click through.

Institute for Safe Medication Practices collects cases where a pharmacist’s question prevented harm. The patient goes home unaware, which is the best ending.

What happened next

Appreciation here belongs to a habit: slow down at the last step.

A lesson you can use this week

When you pick up a new medicine, ask what it is for and what would be an emergency. Be a second pair of eyes for your own body.

Sources

Institute for Safe Medication Practices case studies; Pharmacy Times features on pharmacists preventing medication errors.

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