Canadian Pharmacist Qualifying Exam Practice · Question
A pharmacist discovers a dispensing error where a patient received metformin instead of metoprolol. The patient has a history of type 2 diabetes and hypertension. The patient has not yet taken the incorrect medication. What is the most appropriate next step the pharmacist should take after retrieving the incorrect medication?
Reporting the error through the pharmacy's incident reporting system (e.g., local provincial college, internal system) is a crucial step for quality improvement
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Question: A pharmacist discovers a dispensing error where a patient received metformin instead of metoprolol. The patient has a history of type 2 diabetes and hypertension. The patient has not yet taken the incorrect medication. What is the most appropriate next step the pharmacist should take after retrieving the incorrect medication?
Answer options: ✅ Document the error in the pharmacy's incident reporting system.
- Contact the prescribing physician to inform them of the error.
- Dispense the correct medication immediately and counsel the patient.
- Apologize to the patient and offer a discount on their next prescription.
Correct answer: Document the error in the pharmacy's incident reporting system.
Explanation: Reporting the error through the pharmacy's incident reporting system (e.g., local provincial college, internal system) is a crucial step for quality improvement, identifying system vulnerabilities, and preventing recurrence. While the other options are relevant, error reporting is foundational for medication safety.
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