Welcome to the second issue of 2017. This edition focuses on one well-known high-risk medication, the oral anticoagulant warfarin. Similar issues appeared in cases we presented almost 10-years ago in the RAC-Communiqué December 2008. The cases included this time highlight the human factors or systemic issues around medication use and their management.
Welcome to our first issue of 2017. We have kept this issue simple. Three cases are presented without any formal expert commentaries. This ‘back to basics’ format is intended to challenge you to be an expert. What do you think are the lessons? and, What would you have done differently in these situations?