ArticleInternational journal of clinical pharmacy2012
Look-alike and sound-alike medicines: risks and 'solutions'.
Article in International journal of clinical pharmacy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic literature review of LASA error interventions.British journal of clinical pharmacology · 2021Pooled it
- Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: A mixed methods analysis.Palliative medicine · 2025Article
- Analysis of Drug Product Dispensing Error Characteristics, Construction and Evaluation of a Risk Warning Model in Outpatient Pharmacy: A Retrospective Study in China.Risk management and healthcare policy · 2025Article
- Risk Management and Patient Safety in the Artificial Intelligence Era: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Identification of Confusing Medicine Proprietary Names: Toward Safe Medicine Use-A Cross-Sectional Study in Sri Lanka.Therapeutic innovation & regulatory science · 2023Article
- Medication-related adverse events in health care-what have we learned? A narrative overview of the current knowledge.European journal of clinical pharmacology · 2022Review
- Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.European journal of hospital pharmacy : science and practice · 2021Article
- A text mining analysis of medication quality related event reports from community pharmacies.Research in social & administrative pharmacy : RSAP · 2019Observational
- Patient Safety: A Deep Concern to Caregivers.Innovations in pharmacy · 2019Article
- The Risks and Outcomes Resulting From Medication Errors Reported in the Finnish Tertiary Care Units:: A Cross-Sectional Retrospective Register Study.Frontiers in pharmacology · 2019Article
- Dispensing errors from look-alike drug trade names.European journal of hospital pharmacy : science and practice · 2018Article
- Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of users.PloS one · 2018Article
- Assessment of Orthographic Similarity of Drugs Names between Iran and Overseas Using the Solar Model.Iranian journal of public health · 2017Article
- Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports.Age and ageing · 2017Article
- Article
- Patient Safety in Medication Nomenclature: Orthographic and Semantic Properties of International Nonproprietary Names.PloS one · 2015Article
- Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error.International medical case reports journal · 2015Article
- A comparison of the effects of different typographical methods on the recognizability of printed drug names.Drug safety · 2014Article
- Reducing medication errors in critical care: a multimodal approach.Clinical pharmacology : advances and applications · 2014Review
- Safeguarding the process of drug administration with an emphasis on electronic support tools.British journal of clinical pharmacology · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
'Look-alike, sound-alike' medicines are associated with dispensing errors. This commentary aims to fuel discussion surrounding how drug name nomenclature and similar packaging between medicines can lead to selection errors, the need for enhanced approval systems for medicine names and packaging, and best practice 'solutions'. The literature reveals a number of environmental risks and human factors that can contribute to such errors. To contextualise these risks, we interviewed 13 quality and safety experts, psycholinguists, and hospital and community pharmacy practitioners in Australia, and commissioned a medical software industry expert to conceptualise electronic initiatives. Environmental factors contributing to such errors, identified through both the literature and interviews, include distractions during dispensing; workflow controls should minimise the 'human factors' element of errors. Technological solutions with some support, and yet recognised limitations, include font variations, automated alerts, barcode scanning and real-time reporting programmed into dispensing software; further development of these initiatives is recommended.
Indexed as
Identifiers
22193703What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.