Communication troubles us

Research output: Contribution to journalEditorial

Abstract

Tragically, Melissa’s son died. A conference I recently attended in Canada had a
profound affect on me. There were few dry eyes in the audience when Melissa Sheldrick gave an evocative account of the death of her son from a series of errors made during the dispensing process at their usual pharmacy in March 2016. Her son received baclofen (20 times the maximum dose for a child) instead of tryptophan.1 When Melissa discovered that there was no mandatory reporting for errors made at the pharmacy, she began her advocacy work with the goal of having
mandatory error reporting implemented in her home province, Ontario, and across Canada.
Original languageEnglish
Pages (from-to)302-303
Number of pages2
JournalJournal of Pharmacy Practice and Research
Volume48
Issue number4
DOIs
Publication statusPublished - 1 Aug 2018

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Melissa
Nuclear Family
Communication
Canada
Mandatory Reporting
Baclofen
Ontario

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title = "Communication troubles us",
abstract = "Tragically, Melissa’s son died. A conference I recently attended in Canada had aprofound affect on me. There were few dry eyes in the audience when Melissa Sheldrick gave an evocative account of the death of her son from a series of errors made during the dispensing process at their usual pharmacy in March 2016. Her son received baclofen (20 times the maximum dose for a child) instead of tryptophan.1 When Melissa discovered that there was no mandatory reporting for errors made at the pharmacy, she began her advocacy work with the goal of havingmandatory error reporting implemented in her home province, Ontario, and across Canada.",
author = "Mark Naunton",
year = "2018",
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doi = "10.1002/jppr.1481",
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journal = "Australian Journal of Hospital Pharmacy",
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Communication troubles us. / Naunton, Mark.

In: Journal of Pharmacy Practice and Research, Vol. 48, No. 4, 01.08.2018, p. 302-303.

Research output: Contribution to journalEditorial

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