10th December 2017
STORAGE, PRESCRIPTION AND DISPENSING OF DRUGS
Mistakes in prescribing and dispensing medicines can give rise to medico-legal problems for doctors, including claims in negligence and disciplinary proceedings before the Malaysian Medical Council. There are to be observed legal requirements, including such as are laid down by the Dangerous Drugs Act 1950 and the Poisons Act 1952 and the rules and regulations made under the those Acts. Doctors have been prosecuted in court and proceeded against before the Medical Council for failing to comply with the requirements regarding the storage, supply, prescription and dispensing of controlled drugs and the keeping of records relating to such drugs.
DISPENSING AND PHARMACISTS
The proposal to transfer the dispensing function to pharmacists would have the incidental effect of reducing to some extent the exposure of doctors to medico-legal problems. With a greater role for pharmacists would come a greater ethical and legal burden for them. For example, in a well-known case, a doctors poorly-written prescription of Amoxil 250 mg led a pharmacist to dispense, without checking with the doctor, Daonil 5 mg to a patient who was not a diabetic, thereby causing the patient to suffer severe hypoglycaemic shock and brain damage. In court, the doctor was found 25% liable and the pharmacist 75% liable for the damages.
MDM recognises that there are various business, legal, ethical, professional, economic and social concerns which would need to be addressed in regard to the proposal to transfer the dispensing function to pharmacists. Such concerns should no doubt be addressed by certain professional bodies representing the medical, dental and pharmacists professions.
MDM offers some general advice to its members as follows:-
Case Note 2007 (29th Nov 2007)
PITFALLS IN SPINAL SURGERY (13th Feb 2007)
PITFALLS IN BRAIN SURGERY AND SPINAL SURGERY (7th Jan 2007)
ANNUAL REPORT 2005 (12th Feb 2006)
HEALTH TOURISM (9th Feb 2006)
Doctors Mangled By "Justice" (15th Jan 2004)
PATIENTS' VIEWS (21st Oct 2003)
Patient Safety/Clinical Risk/Medical Error (8th Oct 2003)
NOTICE TO MEMBERS (30th Sep 2003)
CASE STUDIES (30th Sep 2003)
Frequently Asked Questions (FAQs) (30th Sep 2003)
APPOINTMENT OF NEW CHAIRMAN (25th Sep 2003)
Annual Report for MDM (27th Jan 2003)
STORAGE, PRESCRIPTION AND DISPENSING OF DRUGS (5th Mar 2002)
ADVICE TO MEMBERS (5th Mar 2002)
THE DOCTOR AS RESCUER, GOOD SAMARITAN OR VOLUNTEER (20th Jan 2002)
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