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Cheng CM, Salazar A, Amato MG, Lambert BL, Volk LA, Schiff GD. J Am Med Inform Assoc. 2018;25:873-885.
Cheng CM ; Salazar A ; Amato MG; et al. Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018; 25: 873-885
Look-alike, sound-alike drugs are a known safety risk and contribute to medication errors. In keeping with prior research, this study suggests that drug indication data may be helpful in reducing the risk associated with prescribing look-alike, sound-alike medications.
Are national efforts to reduce drug name confusion paying off?
ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.
Zacher JM, Cunningham FE, Zhao X, et al. Am J Health Syst Pharm. 2018;75:1460-1466.
Palliative Care: Comfort vs. Harm
Ralf Jox, MD, PhD
Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, Schiff G. Expert Opin Drug Saf. 2017;16:1103-1109.
Automated detection of look-alike/sound-alike medication errors.
Rash-Foanio C, Galanter W, Bryson M, et al. Am J Health Syst Pharm. 2017;74:521-527.
Case report of a medication error: in the eye of the beholder.
Naunton M, Nor K, Bartholomaeus A, Thomas J, Kosari S. Medicine (Baltimore). 2016;95:e4186.
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Institute for Safe Medication Practices. June 2016.
Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains.
Schroeder SR, Salomon MM, Galanter WL, et al. BMJ Qual Saf. 2017;26:395-407.
Hospital discharge: it's one of the most dangerous periods for patients.
Rau J. Washington Post. April 29, 2016.
Do not let "Depo-" medications be a depot for mistakes.
ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers.
DeHenau C, Becker MW, Bello NM, Liu S, Bix L. Appl Ergon. 2016;52:77-84.
Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children.
Basco WT Jr, Garner SS, Ebeling M, Freeland KD, Hulsey TC, Simpson K. Acad Pediatr. 2016;16:183-191.
A method of addressing proprietary name similarity for US prescription drugs.
Stockbridge MD, Taylor K. Ther Innov Regul Sci. 2015;49:524-529.
Strengthen your resolve: no unlabeled containers anywhere, ever!
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4.
Indication alerts intercept drug name confusion errors during computerized entry of medication orders.
Galanter WL, Bryson ML, Falck S, et al. PLoS One. 2014;9:e101977.
Look alike/sound alike drugs: a literature review on causes and solutions.
Ciociano N, Bagnasco L. Int J Clin Pharm. 2014;36:233-242.
Look-alike and sound-alike medicines: risks and 'solutions.'
Emmerton LM, Rizk MFS. Int J Clin Pharm. 2012;34:4-8.
Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.
ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011.
Look-alike, sound-alike drugs trigger dangers.
Aleccia J. MSNBC.com; May 28, 2010.
Maalox Total Relief and Maalox Liquid Products: Medication Use Errors.
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.
Origins of and solutions for neonatal medication-dispensing errors.
Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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