Stay Alert for Multiple Transmittals of the SAME e-Rx

July 2015

Duplicate electronic prescriptions (e-Rxs) can be deadly.

In a recent error, an electronic Rx was sent to the pharmacy for warfarin 1 mg, take one tab three times daily.

The prescriber then realized warfarin comes in 3 mg tabs...and sent over a new e-Rx for warfarin 3 mg, once daily to REPLACE the 1 mg Rx.

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Table of Contents

Antipsychotics Don't Let New Generics for Abilify Tempt You to Recommend It More Liberally
Controlled Substances Combat the Heroin Epidemic With Naloxone and Syringe Exchange Programs
Dyslipidemia Suggest Saving Non-Statins for Special Situations
Diabetes Meds Watch for Ketoacidosis With Flozins
Diabetes Meds Caution About Using Gliptins in Heart Failure Patients
Bites & Stings Explain Most "Spider Bites" Are Caused by Something Else
Supplements Tell Patients Not to Replace Their Sunscreen With Niacinamide
Parkinson's Disease Suggest Saving Rytary for ADVANCED Parkinson's Disease
Probiotics Advise Spacing Probiotics At Least 2 Hours Apart From Antibiotics
Practice Prioritize Problems During Comprehensive Med Reviews
Opioids Suggest "Intermediate" Fentanyl Strengths If Smaller Titration Steps Are Needed
Contraceptives Recommend an IUD or Implant for Teens BEFORE Other Contraceptive Methods
E-Prescriptions Stay Alert for Multiple Transmittals of the SAME e-Rx
Medical Errors Help Develop Protocols to Reduce "Never Events"
Pulmonary Embolism Expect Less Use of IVC Filters With Anticoagulation
Hepatitis C Don't Rely on Pentoxifylline for Alcoholic Hepatitis