Elizabeth Lee’s dispensing error has not contributed towards Carmel Sheller’s death.
However, from her error there are several things that when improved dispensing will be safer, such as packaging, checking and breaks.
Pharmaceutical companies should not make similar packets, having the same colour.
Double checking should be always done, even if the Pharmacy dispenses the medicine.
Pharmacists should have proper breaks, even if that means they have to leave the premises.
http://www.pjonline.com/news/elizabeth_lee_did_not_contribute_to_patient%E2%80%99s_death_says_coroner
However, from her error there are several things that when improved dispensing will be safer, such as packaging, checking and breaks.
Pharmaceutical companies should not make similar packets, having the same colour.
Double checking should be always done, even if the Pharmacy dispenses the medicine.
Pharmacists should have proper breaks, even if that means they have to leave the premises.
http://www.pjonline.com/news/elizabeth_lee_did_not_contribute_to_patient%E2%80%99s_death_says_coroner
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