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M E D I C A T I O N
S A F E T Y
What's wrong: A look-alike, soundalike error caused by this misplaced drug would have serious consequences.
The remedy: Minimize the risk of mixups by clearly separating easily confused drugs in storage areas, labeling them with "tall man" letters, and training your staff with the Institute for Safe Medication Practices' risk-reduction tools (http://www.ismp.org/Tools/default.asp).
What's wrong? There are 2 strengths of the same drug in this common bin, potentially setting up a medication error.
The remedy: If you must stock more than 1 strength of a drug, make sure they are carefully separated. And remember to always write down verbal drug orders and read them back to the prescriber for confirmation.