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Reducing medication errors through naming, labeling, and packaging.

Adrienne Berman1

  • 1Health Policy and Administration, School of Public Health, Department of Ophthalmology, University of Illinois at Chicago, Chicago, Illinois 60612, USA. aberman@uic.edu

Journal of Medical Systems
|June 3, 2004
PubMed
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Medication name confusion, including look-alike and sound-alike drug names, causes thousands of deaths and millions in costs annually. Strategies are being developed to reduce these common medication errors and improve patient safety.

Area of Science:

  • Pharmacovigilance
  • Patient Safety
  • Health Informatics

Background:

  • Look-alike and sound-alike (LASA) medication names contribute significantly to medication errors in the United States.
  • These errors lead to thousands of deaths and millions of dollars in healthcare costs annually.
  • Name confusion accounts for up to 25% of medication errors, with packaging and labeling confusion contributing 33%.

Purpose of the Study:

  • To highlight the prevalence and impact of LASA medication name confusion.
  • To identify medication name pairs with potential for confusion.
  • To discuss systems and recommendations for mitigating LASA-related medication errors.

Main Methods:

  • Analysis of reported medication errors attributed to LASA name confusion.

Related Experiment Videos

  • Identification of LASA medication name pairs based on written and spoken similarities.
  • Review of existing systems and development of recommendations for error reduction.

    • Main Results:

    • LASA name confusion is a frequent cause of medication errors.
    • Numerous medication name pairs have been identified as causing or having the potential for confusion.
    • Systems and recommendations exist to potentially decrease the incidence of these errors.

    Conclusions:

    • Addressing LASA medication name confusion is critical for enhancing patient safety.
    • Implementation of developed systems and recommendations may reduce medication errors.
    • Continued vigilance and system improvements are necessary to combat LASA-related drug safety issues.