“…The severity of these effects may range from mild discomfort to permanent, debilitating injury and, in some cases, death. The causes of such medication misadventures 22,23 are highly varied and often difficult to determine, occurring as they do at any number of points along the highly complex medication-use process continuum. Errors and anomalies in the prescribing, dosing, management, distribution, and administration of prescription medications cause suffering and expense to patients, families, payers, and health professionals and organizations.…”