If you are being an effective patient's advocate, you do not passively allow "not in stock" or "pharmacy closed now" to be a reason for non administration of essential meds (eg for pain, parkinsons, epilepsy) to be a reason for non administration. You hassle, hustle and escalate
Also we need to treat non administration for purely administrative reasons, as seriously as wrong dose or wrong drug. But yes, deprescribe and simplify everything non essential or with no goal or indication to focus on key meds
Detix is rarely the answer to anything. But using professional qualifications and knowledge and trained brain and active advocacy and chains of seniority may be when stuff ain't happening that ought to happen. But have to know it is important and why. No professional group exempt
Also whilst EPR and portals can help medicines reconciliation accuracy I have yet to see a system that eliminates issues like hospital drs not prescribing key community meds cos we didn't know or carefully deliberately stopped meds reappearing for admin not clinical reasons
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