George,
JG>>I found out yesterday that one of my patients had been
>>hospitalised because
>>of a warfarin interaction that I couldn't spot because I had no
>knowledge of the warfarin.
G>The patient did.
Have knowledge of the warfarin, but not of the interaction.
>Instead of looking at ways of minimising uncertainty
>through mechanical means, shouldn't we be also considering the human
>element.
Both.
>The knowledge was there - the means to retrieve it wasn't, or
>was it?
Oho, you're playing my game back at me. I'm not sure I can cope;)
Anyway between the patient and myself we had enough knowledge,
we also had the means to retrieve it. What we didn't have was the time.
Sad, but true.
We are all becoming increasingly dependent on the machines.
It might be a mistake but I don't think that you can turn back the clock,
but we can try to ensure that the data contained on the machines is both
comprehensive and accurate.
Regards
Jeff Green
Community Locum and Consultant Pharmacist
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