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

Mark NAUNTON, Greg KYLE, Hayley GARDINER

Research output: Contribution to journalArticle

2 Citations (Scopus)
13 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 languageEnglish
Pages (from-to)51-53
Number of pages3
JournalInternational Medical Case Reports Journal
Volume8
Issue number2
DOIs
Publication statusPublished - 2015

    Fingerprint

Cite this