Medication problems don’t always look dramatic at first. Residents often describe issues such as:
- Wrong dose or strength after a refill or hospital discharge
- Confusing directions (for example, “twice daily” vs. “every 12 hours”) that lead to missed or doubled doses
- Pharmacy substitutions that change the medication but weren’t clearly explained
- Labeling mix-ups in high-volume moments (especially when multiple prescriptions are filled)
- Transcription errors when information is copied from one chart to another
Because care in and around Brookhaven can involve multiple steps—clinic visit, pharmacy pickup, follow-up—errors may be discovered only after symptoms worsen or a second provider reviews the file.


