Medication Safety Alert! June 2, 2016
In this week's issue:
- Special Edition: Tall Man Lettering
- ISMP Updates Its List of Drug Names with Tall Man Letters
- Tall Man Letters: A Review of the Evidence
- New ISMP Medication Safety Alert! Video Series
One in every 1,000 medication orders in a hospital, and one in every 1,000 prescriptions in a pharmacy, have been associated with selecting the wrong drug while prescribing, transcribing, dispensing, or administering medications.1-4 One of the key causes of these errors is drug name similarity.5 Factors that increase visual similarity among drug names include similar length of the names and the number of groups of similar characters or the same characters within the names. Other risk factors that increase the risk of confusion between similar drug names include similarities in strength, dosing...