An example of a case study that outlines an allied health malpractice or negligence scenario would be from HPSO and CNA. In this case study, the pharmacy team demonstrated negligence and malpractice when they repeatedly gave the wrong medication to a 12-year-old patient over the span of nine months. The patient was prescribed penicillamine by her doctor, but the pharmacist filled the supply for penicillin. This resulted in the patient progressing in her original disease, as well as having a hospital admission related to taking the penicillin instead of penicillamine. A common risk management strategy for pharmacy members is to make sure what is supplied is exactly what was prescribed, and to never assume similar sounding medications are used for the same purpose (HPSO, 2025). These strategies were ignored by the pharmacist in this scenario and the result was harmful to the patient. If I were in charge of making sure this type of event never happened again, I would push for the use of AI in the pharmacy system. AI can help can errors that are made by humans such as the one in this case study (Kenny, 2025). Requiring that the script is scanned into AI and the barcode for the medication is scanned in as well can make sure that the wrong drug is not administered.

HPSO. (2025). Case Study: Wrong drug repeatedly dispensed over nine-month period leads to hospital admission.

https://www.hpso.com/Resources/Legal-and-Ethical-Issues/Wrong-drug-repeatedly-dispensed-over-nine-month-pe

Kenny, K. (2025). Artificial intelligence has implications for medication safety.

https://www.pharmacytimes.com/view/artificial-intelligence-has-implications-for-medication-safety