Medication Contamination/Misadministration

Unexplained presence of an allergic medication in a patient's system, raising concerns about contamination or misadministration.

1 item 1 source 1 inquiry

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Where this theme appears

Medication Contamination/Misadministration has been flagged across 1 independent accountability source:

1 inquiry rec

This theme has been identified in one data source. As more data is added, cross-references may emerge.

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Inquiry Recommendations (1)

IHRD-25 — Drug Prescription Documentation

Hyponatraemia Inquiry

Recommendation: All instances of drug prescription and administration should be entered into the main clinical notes and paediatric pharmacists should monitor, query and, if necessary, correct prescriptions. In the event of correction the pharmacist should inform the prescribing clinician.

Gov response: Prescribing documentation standards updated. Paediatric pharmacist oversight implemented.

Accepted

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