Evidence map›Paper›PMID 25733932›Full record

ArticleInternational medical case reports journal2015

Look-alike, sound-alike medication errors: a novel case concerning a Slow-Na, Slow-K prescribing error.

Mark Naunton, Hayley R Gardiner, Greg Kyle

Abstract readCase Reports
In one paragraph

Article in International medical case reports journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Fortuitous intrathecal injection of tranexamic acid.Indian journal of anaesthesia · 2021
    Article
  2. Patient Safety: A Deep Concern to Caregivers.Innovations in pharmacy · 2019
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mark NauntonDiscipline of Pharmacy, University of Canberra, Bruce, Australian Capital Territory, Australia.
Hayley R GardinerDiscipline of Pharmacy, University of Canberra, Bruce, Australian Capital Territory, Australia.
Greg KyleDiscipline of Pharmacy, University of Canberra, Bruce, Australian Capital Territory, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 59-year-old man was mistakenly prescribed Slow-Na instead of Slow-K due to incorrect selection from a drop-down list in the prescribing software. This error was identified by a pharmacist during a home medicine review (HMR) before the patient began taking the supplement. The reported error emphasizes the need for vigilance due to the emergence of novel look-alike, sound-alike (LASA) drug pairings. This case highlights the important role of pharmacists in medication safety.

Indexed as

errorLASApotassiumsodium

Identifiers

PMID25733932
PMCPMC4337515

What OpenQuestion holds

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Registered trials

None linked

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.