Medication errors are preventable. Your best defense is asking questions and being informed about the medications you take.
By Mayo Clinic Staff
Medication errors may sound harmless, but mistakes in prescribing, dispensing and administering medications injure hundreds of thousands of people a year in the United States. Yet most medication errors can be prevented. How can you protect yourself and your family?
One of the best ways to reduce your risk of being harmed by medication errors is to take an active role in your own health care. Learn about the medications you take — including possible side effects. Never hesitate to ask questions or share concerns with your doctor, pharmacist and other health care providers.
Medication errors are preventable events that lead to medications being used inappropriately. Medication errors that cause harm are called adverse drug events.
An example of a medication error is taking over-the-counter products that contain acetaminophen (Tylenol, others) when you're already taking a prescription pain medicine that contains acetaminophen, possibly exceeding the recommended acetaminophen dose and putting yourself at risk of liver damage.
Another example of a possible error is taking the brand-name drugs Zyban and Wellbutrin at the same time. Both contain the drug bupropion, but each medication is intended to treat two separate conditions.
Zyban is used for smoking cessation, and Wellbutrin is used to treat depression. If you're taking Wellbutrin for depression, then decide to quit smoking, you may mistakenly be prescribed both drugs. Taking both brand names together may lead to an overdose of bupropion.
Medication errors can happen anywhere, including your own home and in doctors' offices, hospitals, pharmacies and senior living facilities. Knowing what you're up against can help you play it safe. The most common causes of medication errors are:
- Poor communication between health care providers
- Poor communication between providers and their patients
- Sound-alike medication names and medical abbreviations
Knowledge is your best defense. If you don't understand something your doctor says, ask for an explanation. Whenever you start a new medication, make sure you know the answers to the following:
- What is the brand or generic name of the medication?
- What is it supposed to do? How long will it be until I see results?
- What is the dose? How long should I take it?
- Are there any foods, drinks, other medications or activities I should avoid while taking this medicine?
- What are the possible side effects? What should I do if they occur?
- What should I do if I miss a dose?
- What should I do if I accidentally take more than the recommended dose?
- Will this new medication interfere with my other medication(s) and how?
Asking questions is essential, but it isn't enough. By collaborating with your doctors through a process known as medication reconciliation, you can significantly decrease the risk of medication errors.
Medication reconciliation is the process of comparing your current medication orders to all of the medications you have been taking. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors or drug interactions.
Medication reconciliation should be done at every transition of care in which new medications are ordered or existing orders are rewritten. Transitions in care include changes in setting, service, practitioner or level of care.
Sharing your most up-to-date information with your health care providers provides the clearest picture of your condition and helps avoid medication mistakes.
Here's what you need to tell your health care providers:
- The names of all medications you're taking, including all prescription medications, herbs, vitamins, nutritional supplements, over-the-counter drugs, vaccines and anything received intravenously, including diagnostic and contrast agents, radioactive medications, feeding tube supplements and blood products
- Any medications that you're allergic to or that have caused problems for you in the past
- Whether you have any chronic or serious health problems
- If you might be pregnant or you're trying to become pregnant
The following medication errors have happened to real people. Don't make these same mistakes:
- Confusing eardrops and eyedrops. Always double-check the label. If a medication says "otic," it's for the ears. If it says "ophthalmic," it's for the eyes.
- Chewing nonchewables. Don't assume chewing a pill is as good as swallowing it. Some medications should never be chewed, cut or crushed. Doing so may change how they're absorbed by the body.
- Cutting up pills. Never split pills unless your doctor or pharmacist has told you it's safe to do so. Some medications shouldn't be cut because they're coated to be long acting or to protect the stomach.
- Using the wrong spoon. The spoons in your silverware drawer aren't measuring spoons. To get an accurate dose, use an oral syringe (available at pharmacies) or the dose cup that came with the medication.
Get into the habit of playing it safe with these medication tips:
- Keep an up-to-date list of all your medications, including nonprescription and herbal products.
- Store medications in their original labeled containers.
- Keep your medications organized by using a pillbox or an automatic pill dispenser.
- Save the information sheets that come with your medications.
- Use the same pharmacy, if possible, for all of your prescriptions.
- When you pick up a prescription, check that it's the one your doctor ordered.
- Don't give your prescription medication to someone else and don't take someone else's.
"Don't ask, don't tell" is never a smart policy when it comes to medications and your health. Don't hesitate to ask questions or to tell your health care providers if anything seems amiss. Remember, you're the final line of defense against medication errors.
If despite your efforts you have problems with a medication, talk with your doctor or pharmacist about whether to report it to MedWatch — the Food and Drug Administration safety and adverse event reporting program. Reporting to MedWatch is easy, confidential and secure — and it can help save others from being harmed by medication errors.
Sept. 23, 2014
- Medication safety basics. Centers for Disease Control and Prevention. http://www.cdc.gov/MedicationSafety/basics.html. Accessed June 23, 2014.
- 20 tips to help prevent medical errors. Agency for Healthcare Research and Quality. http://www.ahrq.gov/patients-consumers/care-planning/errors/20tips/index.html. Accessed June 23, 2014.
- FDA 101: Medication errors. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048644.htm. Accessed June 23, 2014.
- Ferri FF. Ferri's Clinical Advisor 2014: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed June 23, 2014.
- Your medicine: Be smart, be safe. Agency for Healthcare Research and Quality. http://www.ahrq.gov/consumer/safemeds/yourmeds.htm. Accessed June 23, 2014.
- Lessons to be learned from past errors. Institute for Safe Medication Practices. http://www.ismp.org/consumers/lessonslearned.asp. Accessed June 23, 2014.
- FDA 101: How to use the consumer complaint system and MedWatch. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049087.htm. Accessed June 23, 2014.
- Hughes RG. Patient safety and quality: An evidence-based handbook for nurses. Rockville, Md.: Agency for Healthcare Research and Quality; 2008. http://www.ncbi.nlm.nih.gov/books/NBK2648/. Accessed June 26, 2014.