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Oregon News: Do You Know Why You Are Taking This Medication
Published in the May 2008 Oregon State Board of Pharmacy Newsletter
The most common consumer complaints received by the Board are complaints about medication errors. In many cases, the error could have been prevented with appropriate and effective patient counseling by the pharmacist or intern. The following recent cases illustrate this point:
- atenolol was dispensed for Septra®;
- Cortisporin® Otic suspension was dispensed instead of Cortisporin® Opthalmic drops;
- methotrexate was dispensed instead of medroxyprogesterone.
In each case, if the pharmacist had shown the patient the medication and asked why the patient was taking it, the error could have been quickly identified. More importantly, the patient would not have left the pharmacy with the wrong medication.
Counseling is most effective when patients are engaged in a dialogue about their medication therapy. Involving the patient in the discussion, including asking questions, helps the pharmacist to verify the correct medication is being dispensed. It will also help the pharmacist to assess the patient’s understanding about how to use the medication and what to expect.
Some pharmacists may be concerned that asking open ended questions will demand too much time. Others may be uncomfortable with trying a new technique. Start by simply showing the patient the medication and the product identification note on the label, and asking, “What did your doctor tell you about this medication?” or “What do you know about this medication?”
You will discover that patient counseling becomes more rewarding and more effective as you establish a relationship with your patient. Learn about what your patient already knows, and tailor the type of information you provide to meet the individual’s needs. In many cases this type of counseling takes less time than reading directions and listing side effects. In some cases it may take a little more. In any case, how much time is it worth if you prevent a serious medication error? Try it!
It should also be mentioned here that new administrative rules adopted by the Board in Division 019 (OAR 855-019-0230c) require pharmacists and interns to document patient counseling beginning July 1, 2008.
By Ann Zweber, Board of Pharmacy President
