Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, pharmacist, Eric Christensen.

Thank you so much for listening today. As always, go check out the top 200 drugs. Great little study guide.

It's a 31-page PDF. Same plain emails. All you need to get access to that. So you can go do that at real-life pharmacology.com.

All right, so I am getting into part two of medication errors, and I've got some scary

examples to share with you in this part as well.

Not that some scary examples can't happen with some of the first ones I talked about

in part one because that certainly can be the case. But I've got some good examples here that I've

pulled from my practice over the years and seeing things and talking to different patients and nurses

and those type of things. So first one I'll cover is transcription error.

So essentially this is the incorrect transfer of medication information.

Usually it's patient going from, let's say, the hospital,

going to a long-term care facility or going to an assisted living,

where we have two agencies basically connecting with each other and trying to transfer that information.

Classic example here is being off by a decimal point.

So this can be very, very scary.

So let's say the orders for 0.5 milligrams,

and that gets transcribed, typed into the computer

or the alternative EMR, that gets typed in as

5 milligrams. Well, that's a 10x dosing error. Okay, for something like warfarin, if that's given

for numerous days, that is, you know, a potentially life-threatening scary error. Another couple

classic examples are opioids. So if you give five milligrams of morphine versus 50 milligrams of

morphine, very, very scary air. Insulin, another example there as well. I've seen patients on five

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