The Power of the Pen
Chuck DiTrapano, RPh shares a habit that eventually became something more. He tell the story of how a simple “C” written in blue pen came to carry so much power and responsibility. Ever since my very first day on the job as a hospital pharmacist, I have placed a “C” using a blue Sharpie on […]
Insulin: One Patient – One Pen
“Health care has safety and quality problems because it relies on outmoded systems of work. Poor designs set the workforce up to fail, regardless of how hard they try. If we want safer, higher-quality care, we will need to have redesigned systems of care, including the use of information technology to support clinical and administrative […]
Medication Errors: My Near Miss
RxToolKit Founder Chuck DiTrapano shares his close-call with a medication error, what he learned from the experience, and resources for reporting errors or near-misses. About 6 years ago I was working as the IV pharmacist on second shift and I was presented with a large number of IV’s to check prior to delivery. The IV delivery […]
Eric Cropp’s Story: Courage Under Fire
In 2006, Eric Cropp, RPh, lost his license, career, reputation, and more due to a fatal medication error. Eric Cropp went to jail; he is a convicted felon. What was Eric Cropp’s crime?…he was human. An error occurred that had tragic consequences to an innocent toddler and her family. It wasn’t that Eric even made the error; […]