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.
Coroner Paresa Spanos.

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.