Communication troubles us

Research output: Contribution to journalEditorialpeer-review


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
Issue number4
Publication statusPublished - 1 Aug 2018


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