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PSNet: Patient Safety Network
Journal Article
Commentary

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.

Leonard JB, Klein-Schwartz W. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2019;76:264-265.

Patient and family medication administration mistakes can result in medication errors at home. This commentary describes the problem of "pill dumping," where patients combine their daily medicines into a spare vial. However, patients are at risk for mistakenly taking a vial of a single medication instead of their pill-dump vial and inadvertently overdosing. The authors suggest medication counseling and use of daily pill boxes as tactics to prevent this type of error.