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

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 emphasi...

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Detalles Bibliográficos
Autores principales: Naunton, Mark, Gardiner, Hayley R, Kyle, Greg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4337515/
https://www.ncbi.nlm.nih.gov/pubmed/25733932
http://dx.doi.org/10.2147/IMCRJ.S78637
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author Naunton, Mark
Gardiner, Hayley R
Kyle, Greg
author_facet Naunton, Mark
Gardiner, Hayley R
Kyle, Greg
author_sort Naunton, Mark
collection PubMed
description 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.
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spelling pubmed-43375152015-03-02 Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error Naunton, Mark Gardiner, Hayley R Kyle, Greg Int Med Case Rep J Case Report 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. Dove Medical Press 2015-02-16 /pmc/articles/PMC4337515/ /pubmed/25733932 http://dx.doi.org/10.2147/IMCRJ.S78637 Text en © 2015 Naunton et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Naunton, Mark
Gardiner, Hayley R
Kyle, Greg
Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error
title Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error
title_full Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error
title_fullStr Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error
title_full_unstemmed Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error
title_short Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error
title_sort look-alike, sound-alike medication errors: a novel case concerning a slow-na, slow-k prescribing error
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4337515/
https://www.ncbi.nlm.nih.gov/pubmed/25733932
http://dx.doi.org/10.2147/IMCRJ.S78637
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