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

Mark NAUNTON; Greg KYLE; Hayley GARDINER

doi:10.2147/IMCRJ.S78637

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

Mark NAUNTON, Greg KYLE, Hayley GARDINER

Pharmacy

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

223 Downloads (Pure)

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.

Original language	English
Pages (from-to)	51-53
Number of pages	3
Journal	International Medical Case Reports Journal
Volume	8
Issue number	2
DOIs	https://doi.org/10.2147/IMCRJ.S78637
Publication status	Published - 16 Feb 2015

Access to Document

10.2147/IMCRJ.S78637Licence: Other

Journal ArticleFinal published version, 674 KBLicence: Other

Cite this

@article{2d8cf484c63b4f3e83765a891c35f68d,

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

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.",

keywords = "Error, LASA, Potassium, Sodium",

author = "Mark NAUNTON and Greg KYLE and Hayley GARDINER",

note = "Publisher Copyright: {\textcopyright} 2015 Naunton et al.",

year = "2015",

month = feb,

day = "16",

doi = "10.2147/IMCRJ.S78637",

language = "English",

volume = "8",

pages = "51--53",

journal = "International Medical Case Reports Journal",

issn = "1179-142X",

publisher = "Dove Medical Press Ltd.",

number = "2",

}

TY - JOUR

T1 - Look-alike, sound-alike medication errors: A novel case concerning a Slow-Na, Slow-K prescribing error

AU - NAUNTON, Mark

AU - KYLE, Greg

AU - GARDINER, Hayley

PY - 2015/2/16

Y1 - 2015/2/16

N2 - 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.

AB - 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.

KW - Error

KW - LASA

KW - Potassium

KW - Sodium

UR - http://www.scopus.com/inward/record.url?scp=84923035250&partnerID=8YFLogxK

U2 - 10.2147/IMCRJ.S78637

DO - 10.2147/IMCRJ.S78637

M3 - Article

SN - 1179-142X

VL - 8

SP - 51

EP - 53

JO - International Medical Case Reports Journal

JF - International Medical Case Reports Journal

IS - 2

ER -

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

Abstract

Access to Document

Other files and links

Fingerprint

Cite this