Coroner blames ‘rushed’ move to electronic charts for patient death
The resultant medication errors were missed by the GP, pharmacy and aged care facility, the Victorian Coroner has found.
A move from paper to electronic charts in an aged care home led to a fatal medication error after two patients were mixed up, a GP has told an inquest.
The Victorian GP told State Coroner Paresa Spanos he relied on the new charts for a medicine review but did not pick up that his patient had been written up for medicines for another patient who had a similar-sounding name.