title: Lack of pharmacist-physician communication associated with nimesulide-induced oligohydramnios during pregnancy.
abstract: METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Biothermodynamics and Drug Design, Institute of Biotechnology, Vilnius University, V. Graičiūno 8, 02241, Vilnius, Lithuania. svitrigaile@gmail.com.
authors.forename: Švitrigailė
authors.initials: Š
authors.lastname: Grincevičienė
authors.affiliation: Centre of Obstetrics and Gynaecology, Hospital "Santariškių Klinikos", Vilnius University, Santariškių st. 2, 08661, Vilnius, Lithuania.
authors.forename: Jelena
authors.initials: J
authors.lastname: Volochovič
authors.affiliation: Department of Drug Technology and Social Pharmacy, Faculty of Pharmacy, Lithuanian University of Health Sciences, Sukilėlių ave. 13, 50161, Kaunas, Lithuania.
authors.forename: Jonas
authors.initials: J
authors.lastname: Grincevičius
mesh_terms: D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects; D003142:Communication; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008508:Medication Errors / Q000009:adverse effects*; D016104:Oligohydramnios / Q000139:chemically induced* / Q000175:diagnosis; D010595:Pharmacists / Q000592:standards*; D010820:Physicians / Q000592:standards*; D011247:Pregnancy; D013449:Sulfonamides / Q000009:adverse effects*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D013449:Sulfonamides; C012655:nimesulide
keywords: Medication error; Nimesulide; Oligohydramnios; Physician–pharmacist communication; Pregnancy