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

4 Citations (Scopus)

261 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

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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.",

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

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