[132792394]
The facility received an order for curad 20-30mmhg size d compression stockings. However, the order should have been for a size a compression stocking. Investigation results: after a review of the above issues, the following was determined. Type of medication error: incorrect product; was the medication administered to the resident? Na. Area where error occurred: data entry and initial review medication (s) / product(s) involved: curad size d compression stocking vs curad size a compression stockings, order error potential: low root cause: the measurements on the prescription was clearly written. In accordance with policy and procedure, the data entry technician should have entered the correct size according to the measurements on the order. In accordance with policy and procedure, the pharmacist should have verified the correct size according to the measurements and deviated from established policy and procedure by approving the order as correct. The data entry technician and pharmacist were not in present time with the prescription. (b)(6); access number: (b)(4).
Patient Sequence No: 1, Text Type: D, B5