In many long-term care settings around Highland, daily medication schedules can involve multiple staff handoffs, pharmacy deliveries, and physician updates that don’t always arrive smoothly. Problems can show up during:
- Evening or weekend medication passes when families may not be able to observe symptoms as closely
- After hospital discharge, when orders change quickly and reconciliation may be incomplete
- During staffing shortages or high turnover, when documentation quality can drop
When overmedication happens in the real world, it often isn’t a single “bad pill.” It’s a chain—an order change not captured correctly, a dose not adjusted on time, or warning signs not acted on quickly enough.


