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Improving systems should help to reduce errors due to look-alike and sound-alike drug names

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References

  1. Hoffmann JM, Proulx SM. Medication errors caused by confusion of drug names. Drug Safety 2003; 26 (7): 445–52.

    Article  Google Scholar 

  2. United States Pharmacopeia. USP quality review: use caution -avoid confusion [online]. Available from URL: http://www.usp.org/pdf/patientSafety/qr762001-03-01.pdf [Accessed 2003 Dec 30]

  3. Hoppes C, Holquist C, Phillips J. Generic name confusion [online]. Available from URL: http://www.fda.gov/cder/drug/MedErrors/genericnames.pdf [Accessed 2003 Dec 30]

  4. United States Pharmacopeia. Patient safety: similar drug names continue to be reported [online]. Available from URL: http://www.usp.org/patientSafety/briefsArticlesReports/practitionerReportingNews/prn1082003-10-23.html [Accessed 2003 Dec 30]

  5. Center for Drug Evaluation and Research. Drug products associated with medical errors [online]. Available from URL: http://www.fda.gov/cder/drug/mederrors/default.htm#drug [Accessed 2003 Dec 30]

  6. Mahmud A, Phillips J, Holquist C. Stemming drug errors from abbreviations [online]. Available from URL: http://www.fda.gov/cder/drug/MedErrors/nameAbbreviations.pdf [Accessed 2003 Dec 30]

  7. World Health Organization. International non-proprietary names: revised procedure [online]. Available from URL: http://www.who.int/gb/EBWHA/PDF/EB110/eeb1103.pdf [Accessed 2003 Dec 30]

  8. Holquist C, Phillips J. How FDA reviews drug names [online]. Available from URL: http://www.fda.gov/cder/drug/MedErrors/reviewDrugNames.pdf [Accessed 2003 Dec 4]

  9. Committee for Proprietary Medicinal Products (CPMP). Revised guidance paper on the acceptability of tradenames for human medicinal products processed through the centralised procedure [online]. Available from URL: http://www.emea.eu.int/pdfs/human/regaffair/032898en.pdf [Accessed 2003 Dec 4]

  10. Joint Commission on Accreditation of Healthcare Organizations. Sentinel event alert: look-alike, sound-alike drug names [online]. Available from URL: http://www.jcaho.org/about+us/news+letters/sentinel+event+alert/sea19.htm [Accessed 2003 Dec 30]

  11. Bates DW, Teich JM, Lee J, et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc 1999; 6 (4): 313–21.

    Article  PubMed  CAS  Google Scholar 

  12. Institute for Safe Medication Practices. It’s time for standards to improve safety with electronic communication of medication orders [online]. Available from: http://www.ismp.org/MSAarticles/improve.htm [Accessed 2003 Dec 30]

  13. Institute for Safe Medication Practices. FDA name differentiation project: list of product names and recommended revisions for the use of tall-man letters [online]. Available from URL: http://www.ismp.org/msaarticles/drugnames.html [Accessed 2003 Dec 30]

  14. The National Coordinating Council for Medication Error Reporting and Prevention. Recommendations to reduce medication errors associated with verbal medication orders and prescriptions 2001 Feb 20 [online]. Available from URL: http://www.nccmerp.org/council/council2001-02-20.html [Accessed 2003 Dec 30]

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Improving systems should help to reduce errors due to look-alike and sound-alike drug names. Drugs Ther. Perspect 20, 23–26 (2004). https://doi.org/10.2165/00042310-200420040-00008

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