The problem of look‐alike, sound‐alike name errors: Drivers and solutions

The problem of look‐alike, sound‐alike name errors: Drivers and solutions

Look‐alike or sound‐alike (LASA) medication names may be mistaken for each other, e.g. mercaptamine and mercaptopurine. If an error of this sort is not intercepted, it can reach the patient and may result in harm. LASA errors occur because of shared linguistic properties between names (phonetic or o...

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Veröffentlicht in:British journal of clinical pharmacology 2021-02, Vol.87 (2), p.386-394
Hauptverfasser: Bryan, Rachel, Aronson, Jeffrey K., Williams, Alison, Jordan, Sue
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Sprache:eng
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look‐alike
medication error
nomenclature
similarity
sound‐alike
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container_title British journal of clinical pharmacology
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creator Bryan, Rachel
Aronson, Jeffrey K.
Williams, Alison
Jordan, Sue
description Look‐alike or sound‐alike (LASA) medication names may be mistaken for each other, e.g. mercaptamine and mercaptopurine. If an error of this sort is not intercepted, it can reach the patient and may result in harm. LASA errors occur because of shared linguistic properties between names (phonetic or orthographic), and potential for error is compounded by similar packaging, tablet appearance, tablet strength, route of administration or therapeutic indication. Estimates of prevalence range from 0.00003 to 0.0022% of all prescriptions, 7% of near misses, and between 6.2 and 14.7% of all medication error events. Solutions to LASA errors can target people or systems, and include reducing interruptions or distractions during medication administration, typographic tweaks, such as selective capitalization (Tall Man letters) or boldface, barcoding, and computerized physician order entry.
doi_str_mv 10.1111/bcp.14285
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source Wiley Online Library Journals Frontfile Complete; Wiley Free Content; EZB-FREE-00999 freely available EZB journals
subjects look‐alike
medication error
nomenclature
similarity
sound‐alike
title The problem of look‐alike, sound‐alike name errors: Drivers and solutions
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