Case 1 (An Endogenous Error)
An endogenous error arises solely from within an individual, from a random and unpredictable cognitive event such as miscalculating a dose or prescribing a drug at a dose appropriate for the next medication being contemplated.
I ike it or not, part of our national lexicon includes the phrase “How you doin’,” often attributed to denizens of our beloved city of the founding fathers, namely, Philadelphia. I thought about how we’re doin’ when I had an opportunity to review the annual report of the Agency for Healthcare Research and Quality (AHRQ) [...]
I am confident that readers of P&T struggle with the critical issue of medication adherence on a regular basis. I am also sure that most of us are frustrated by our feeble attempts to improve low rates of patient compliance, especially with medications needed for chronic conditions. I am always on the lookout for help [...]
All physicians agree that change is inevitable in the practice of medicine. Practicing Medicine in the 21st Century is targeted toward medical students, residents, and physicians in a variety of settings. As a practicing physician for over 25 years, I predict that this book will be extremely useful for physicians of all ages and at [...]
Pharmacists around the country now have one more administrative chore to worry about. Fortunately, this task concerns only their Medicaid patients—but that may be small comfort.
October 1, 2007, was the start date for a new federal requirement that pharmacists fill only those Medicaid prescriptions, including those for over-the-counter medications, that are written on “tamper-proof pads.
Primary renal lymphoma (PRL), describes non-Hodgkin’s lymphoma involving the kidney in the absence of any other organ or nodal disease focus. The majority of patients are older than 40 years and present with acute renal failure. Flank pain, hematuria, weight loss, and abdominal mass are other common manifestations, similar to renal cell carcinoma. PRL presenting [...]
A 79-year-old Caucasian male presented to our unit with symptoms of generalized body aches, weakness and decreased urine output. He is a known patient with chronic renal insufficiency, well-controlled type II diabetes, and myocardial infarction. Physical examination revealed a blood pressure of 154/65 mm Hg and pitting edema of the lower left lumbar region. There [...]
