Case report of a medication error: In the eye of the beholder

INTRODUCTION: The World Health Organisation recognizes confusing drug names as one of the most common causes of medication errors. Other factors include spelling, phonetic, or packaging similarities. CASE PRESENTATION: We presented a case report of an inadvertent administration of a non-ocular pharm...

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Detalles Bibliográficos
Autores principales: Naunton, Mark, Nor, Kowsar, Bartholomaeus, Andrew, Thomas, Jackson, Kosari, Sam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
5800
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956810/
https://www.ncbi.nlm.nih.gov/pubmed/27428216
http://dx.doi.org/10.1097/MD.0000000000004186
Descripción
Sumario:INTRODUCTION: The World Health Organisation recognizes confusing drug names as one of the most common causes of medication errors. Other factors include spelling, phonetic, or packaging similarities. CASE PRESENTATION: We presented a case report of an inadvertent administration of a non-ocular pharmaceutical product (Novasone(®) lotion) into the eye of an octogenarian individual, and briefly reviewed the relevant literature. DISCUSSION: We discussed prevention strategies to avoid similar ophthalmic medication errors.

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