Prescription for Secrecy: Most pharmacies not required to report medication errors

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Prescription for Secrecy: Most pharmacies not required to report medication errors
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Attorneys for Richard Allen say they have turned to crowdfunding to make it a fair fight.

13 Investigates learned community pharmacies do not have to tell patients, the state or a federal agency if they make a medication error.INDIANAPOLIS — Three-year-old John Casolaro's parents had no idea what was wrong when he was sick this past December. Then, his father noticed something unusual while mixing the boy's liquid medication. The"I raised the flag and said, 'I don't think we have enough water for this dose,'" Matt Casolaro said.

13 Investigates learned community pharmacies, like the CVS the Casolaros used, are not required to tell patients if they make a medication error. There also is no state or federal agency tasked with tracking those errors.We sent a list of questions to CVS and some of the largest retail pharmacies in central Indiana to learn more about their error-reporting policies.

Vernon told 13 Investigates she believes the profession needs to do a better job reporting medication errors, but stops short of calling for mandated reporting.became the first state to pass a law requiring community pharmacies report all prescription errors to the state. Jew said other states like Indiana should follow suit. Right now, Indiana requires hospital pharmacies to report some medication errors, but that rule does not apply to other pharmacies.

The goal, they say, is to build a culture that better supports pharmacists and pharmacy workers, many of whom report they're overworked and understaffed.The Casolaros say their 3-year-old son John experienced side effects after their pharmacy gave him the wrong dosage of the medication. The Casolaros say John's experience with a dosage error wasn't as extreme. Still, they report the boy dealt with side effects – including an upset stomach and diarrhea.

Another reason the family filed a complaint with the state is because they were worried other people may have a misdosed medication and not realize it. They pointed out a lot of the people who take liquid medications are children or the elderly, people like John who may not be able to speak up for themselves. The toddler has a brain disorder that limits his verbal skills."There is no way for him to tell us, like, 'Hey, my stomach really hurts,'" his mom said.

"Amazon Pharmacy is committed to the safety and wellbeing of our customers. We abide by federal and state safety recommendations, and proactively invest and invent in novel approaches to improve safety in combination with strong policies and procedures in place to prevent medication errors.

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