Medication Errors: An Overview for Clinicians

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Medication Errors: An Overview for Clinicians Christopher M. Wittich, MD, PharmD, Christopher M. Burkle, MD, JD, William L. Lanier, MD  Mayo Clinic Proceedings  Volume 89, Issue 8, Pages 1116-1125 (August 2014) DOI: 10.1016/j.mayocp.2014.05.007 Copyright © 2014 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure Examples of causes of medication errors. A, Unapproved abbreviations and illegible handwriting (for example, the U for units could be confused for a zero; MS is ambiguous and could mean morphine or magnesium sulfate; trailing zeros after a decimal could be mistaken for 20 rather than 2.0; QD [every day] could be confused with QOD [every other day] or QID [4 times a day]). B, Look-alike bottles should be placed in separate locations in a pharmacy. C, Similar sounding medications such as glyburide and glipizide can be labeled with “tall man lettering” to decrease medication error. D, Patient risk factors such as age, comorbidities, and polypharmacy can precipitate medication errors. Mayo Clinic Proceedings 2014 89, 1116-1125DOI: (10.1016/j.mayocp.2014.05.007) Copyright © 2014 Mayo Foundation for Medical Education and Research Terms and Conditions