SIEMENS PHARMACY

Description of Event or Problem

PT HAS A KNOWN ADVERSE REACTION TO ALBUTEROL. THE ALLERGY IS LISTED IN INNUMERABLE PLACES IN THE ELECTRONIC MEDICAL RECORD. YET, IT WAS ORDERED BY A PHYSICIAN AND WAS LISTED ON THE ELECTRONIC MEDICATION RECORD TO BE GIVEN EVERY 2 HOURS PRN, HAVING BYPASSED THE PHARMACISTS' AND NURSES' RECOGNITION. THIS RAISES MATTERS OF DISEASE OF THE E-PHARMACY AND E-MEDICATION SYSTEMS AND DISTRUST FOR THE SAID SYSTEM OF CARE THAT IS PROCLAIMED TO BE SAFER WHEN ELECTRONIC CARE ADMINISTERING MEDICAL CONTRIVANCES ARE DEPLOYED. WE ARE CONCERNED THAT IF SUCH A BASIC ERROR IS ALLOWED TO GO UNRECOGNIZED BY THESE SUPPOSEDLY SAFE DEVICES, HOW SAFE ARE THEY, EXACTLY?