Look-alike, sound-alike medication errors: A novel case concerning a Slow-Na, Slow-K prescribing error

Naunton, M, Gardiner, H, & Kyle, Greg J. (2015) Look-alike, sound-alike medication errors: A novel case concerning a Slow-Na, Slow-K prescribing error. International Medical Case Reports Journal, 8, pp. 51-53.

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Abstract

A 59-year-old man was mistakenly prescribed Slow-Na instead of Slow-K due to incorrect selection from a drop-down list in the prescribing software. This error was identified by a pharmacist during a home medicine review (HMR) before the patient began taking the supplement. The reported error emphasizes the need for vigilance due to the emergence of novel look-alike, sound-alike (LASA) drug pairings. This case highlights the important role of pharmacists in medication safety.

Impact and interest:

1 citations in Scopus
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ID Code: 91688
Item Type: Journal Article
Refereed: Yes
Keywords: accuracy, diet supplementation, drug quality, drug safety, electronic prescribing
DOI: 10.2147/IMCRJ.S78637
ISSN: 1179-142X
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Past > Schools > Pharmacy
Copyright Owner: © 2015 Naunton et al
Copyright Statement: Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
Deposited On: 11 Jan 2016 03:40
Last Modified: 11 Jan 2016 21:56

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