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International Journal of Clinical Pharmacy

, Volume 38, Issue 2, pp 196–198 | Cite as

Lack of pharmacist–physician communication associated with nimesulide-induced oligohydramnios during pregnancy

  • Švitrigailė Grincevičienė
  • Jelena Volochovič
  • Jonas Grincevičius
Case Report

Abstract

Case

The consequences of medication errors can be serious, especially in pregnant women. When decision-making is critical, physician–pharmacist communication has the potential to improve patient safety. In this report, we describe the case of a pregnant woman who developed oligohydramnios after taking nimesulide for neuropathic pain. The drug was improperly prescribed by a family physician and mistakenly dispensed by a community pharmacist. Oligohydramnios was observed during ultrasound examination and an iatrogenic cause was suspected. This case is presented to raise awareness that patient safety is threatened because of a lack of physician–pharmacist communication, especially for pregnant patients.

Conclusion

Healthcare professionals are continually at-risk for making errors at work. Effective inter-professional communication should be an organisational tool to prevent adverse events for pregnant women.

Keywords

Medication error Nimesulide Oligohydramnios Physician–pharmacist communication Pregnancy 

Notes

Acknowledgments

We thank the patient for her consent to publish her case, and the reviewers for their intellectual support.

Funding

Nothing to declare.

Conflicts of interest

The authors have no conflicts of interest.

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Copyright information

© Springer International Publishing 2016

Authors and Affiliations

  • Švitrigailė Grincevičienė
    • 1
  • Jelena Volochovič
    • 2
  • Jonas Grincevičius
    • 3
  1. 1.Department of Biothermodynamics and Drug Design, Institute of BiotechnologyVilnius UniversityVilniusLithuania
  2. 2.Centre of Obstetrics and Gynaecology, Hospital “Santariškių Klinikos”Vilnius UniversityVilniusLithuania
  3. 3.Department of Drug Technology and Social Pharmacy, Faculty of PharmacyLithuanian University of Health SciencesKaunasLithuania

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