Open AccessCase report of a medication error
Author(s) -
Mark Naunton,
Kowsar Nor,
Andrew Bartholomaeus,
Jackson Thomas,
Sam Kosari
Publication year - 2016
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000004186
Subject(s) - medicine , spelling , presentation (obstetrics) , lotion , product (mathematics) , surgery , linguistics , traditional medicine , philosophy , geometry , mathematics
The World Health Organisation recognizes confusing drug names as one of the most common causes of medication errors. Other factors include spelling, phonetic, or packaging similarities. Case presentation: We presented a case report of an inadvertent administration of a non-ocular pharmaceutical product (Novasone ® lotion) into the eye of an octogenarian individual, and briefly reviewed the relevant literature. Discussion: We discussed prevention strategies to avoid similar ophthalmic medication errors.