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Article
Mandatory Pharmacy Residencies: One way to reduce medication errors
American Journal of Health-System Pharmacy
  • Rami B. Ibrahim
  • Lilian Baghat-Ibrahim
  • David J. Reeves, Butler University
Document Type
Article
Publication Date
1-1-2010
DOI
http://dx.doi.org/10.2146/ajhp090138
Abstract
We read with disbelief about a newly graduated pharmacist dispensing 30 times the amount of injectable sodium bicarbonate intended, an error that led to a patient’s death.1 As clinicians, we wondered what clinical scenario might mandate the large amount of sodium bicarbonate dispensed—the answer was none. So why did the pharmacist dispense it? The answer is all too clear: With rare exceptions, institutional pharmacists nationwide are largely focused on dispensing. Postgraduate clinical training in the basic aspects of pharmacotherapy is scarce and not viewed as essential. Inadequate pharmacist training and a staffing shortage were suggested as contributing to the death of a six-day-old infant who received 10 times the prescribed dose of i.v. potassium chloride at a university hospital.2 These two sobering misadventures hint at a link between pharmacists’ clinical training and patient safety.
Rights

This is a post-print version of an article originally published in American Journal of Health-System Pharmacy, 2010, Volume 67, Issue 6.

The version of record is available through: the American Society of Health-System Pharmacists.

Citation Information
Rami B. Ibrahim, Lilian Baghat-Ibrahim and David J. Reeves. "Mandatory Pharmacy Residencies: One way to reduce medication errors" American Journal of Health-System Pharmacy Vol. 67 Iss. 6 (2010) p. 477 - 481
Available at: http://works.bepress.com/david-reeves/2/