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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Medication Errors – Real Life Examples and Definitions – Part 1

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

4.9773 Ratings

🗓️ 2 April 2026

⏱️ 14 minutes

🧾️ Download transcript

Summary

In this 2 part series, I cover important medication errors, including examples I’ve seen in real life. Some of the error types covered in section 1 include:

  • Prescribing errors
  • Omission errors
  • Monitoring errors
  • Dispensing errors

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Transcript

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0:00.0

Hey, all, welcome back to the real-life pharmacology podcast. I'm your host, pharmacist, Eric Christensen.

0:05.6

Thank you so much for listening today. As always, go snag your free 31-page PDF on the top 200 drugs.

0:13.4

A great study guide, great refresher. Simply an email. We'll get you access to that. Definitely a no-brainer to have if you're out in practice or

0:21.9

if you're preparing for board exams, pharmacology exams as well. So again, go check that out at

0:28.7

real-life pharmacology.com. All right. So this is going to be part one of a little bit of a short

0:35.6

special series here on medication air errors. I'm going to go

0:41.0

through a lot of the terminology, many mistakes, some common, some not so common. And I'm also going

0:48.7

to provide you examples that I've seen myself in real life practice that I've heard of happening,

0:56.2

that I think can really help you become a better physician or pharmacist or nurse or whatever the case may be.

1:04.9

So these are going to be important errors to look out for what they are first and foremost, and try to give you some,

1:13.4

you know, common examples, some real life situations that I've come across in my over a decade

1:19.7

now of experience as a pharmacist. All right, first one I'm going to start with is a prescribing

1:26.8

error. So this is a prescribing error.

1:32.4

So this is a mistake at the point of writing a prescription.

1:40.0

So, for instance, the provider wants to start lysineapril 10 milligrams, and they inadvertently write for 40 milligrams.

1:43.9

Maybe they were thinking about something else or whatever the case may be.

1:47.1

Now, this is an example of something that can easily be caught if, you know, a pharmacist,

1:52.9

if a nurse, if somebody's paying attention and they recognize dosages.

1:57.1

So if, you know, as a pharmacist, if you're dispensing this medication and you see a new order for lysinepro,

2:04.6

patients never been on it, never been on another ACE inhibitor, an ARB, or anything like that,

2:08.8

and you see an order for 40 milligrams of lysinepro, the highest dose, you know, that should, you know,

2:15.5

prompt some alarms in your head, like, whoa, this is weird, you know,

...

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