The medication management model needs some adjustments and modifications. As we saw that the system is not perfect and research shows that unintended consequences occur in the system.
Transmission phase, is the second phase of the medication management process. The transmission phase could also include the dispensing phase.
Medication management process consists of five stages; prescribing, transmitting or transcribing, dispensing, administration and monitoring. I believe unintended consequences could occur anywhere in the process at any phase. However, after looking into the literature, I would agree that the most common phases where unintended consequences occur are prescribing, dispensing and administration.
Unintended Consequences in Medication Management Process
You are presented with the following case:
60 year old male patient, overweight with BMI = 28. Recently diagnosed with type 2 diabetes mellitus. He is currently taking maximum doses of metformin and sitagliptin. Generally, his blood sugar levels are not controlled, for example, his last HbA1c reading was 7.5%. He has positive family history of cardiovascular disease, his father suffered from fatal MI and the age of 52.
It is important that people donate blood regularly, not only to save others’ lives, but also for their own health. Blood donations are particularly urgent for people who suffer from medical conditions or experience big incidences that make them in need for blood transfusions, such as those that have leukemia, aplastic anemia, or have been involved in vehicle accidents. The Canadian Blood Services, which is based in Ottawa, accepts year round blood donations. However, their policies are changing which might result in restricting or discouraging people to donate blood.
This question has ever becoming a an inflating bubble since the health care systems are lingering into ehealth and health IT. Many primary care physicians have some kind of an EMR where they can properly and consistently manage their patients’ medical history, diagnoses, lab results, medications, etc.
I’ve seen a lot of times in the pharmacy we have to print the prescription, write a note or description of a problem or question the patient or pharmacist has, and then fax it to the physician’s office to get a signature.