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Healthy Skepticism Library item: 9400

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Lesar TS.
Common prescribing errors.
Ann Intern Med 1992 Sep 15; 117:(6):537-8


Abstract:

The incidence of prescribing errors involving drugs available in standard and sustained-action dosage forms during a 1 yr period is reported at a single hospital; all errors were averted before dispensing from the pharmacy. There were 118 instances of inappropriate prescribing during the study period, compared with 19 such errors during a similar study conducted 5 yr previously. The most common type of error was prescribing the standard-release form (or not specifying the controlled-release form) at an inappropriate frequency or dose, and prescribing sustained-release forms when they were not appropriate. The contribution of brand name suffixes to these prescribing errors was discussed, and the need for pharmaceutical companies to consider using brand names that more clearly differentiate between controlled and standard release formulations is stressed.

Keywords:
Delayed-Action Preparations/administration & dosage* Medication Errors* Prescriptions, Drug/standards*

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909