Author Affiliation: Division of General Medicine, Department of Medicine, Brigham and Women's Hospital, and the Center for Applied Medical Information Systems Research, Partners HealthCare System, Boston, Mass.
Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.
DR AUDET: Ms K is a 40-year-old woman who found
an error with her prescribed medications. She was diagnosed with HIV infection
in 1996 and has taken several different drug regimens. Despite the complexity
of her drug program, Ms K has been able to manage it well. She has taken an
active role in understanding the benefits of her medications and has not had
major adverse effects.
Ms K had asked that refills for her prescriptions be called in to her
pharmacy. When the time came to take her newly filled prescriptions, she noted
that 2 of the drugs were unfamiliar to her, and that 2 of her HIV drugs were
Bates DW. A 40-Year-Old Woman Who Noticed a Medication Error. JAMA. 2001;285(24):3134-3140. doi:10.1001/jama.285.24.3134