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Commentary
Case report of a medication error: in the eye of the beholder.
August 31, 2016
Naunton M, Nor K, Bartholomaeus A, et al. Medicine (Baltimore). 2016;95(28):e4186.
Look-alike drug names or packaging are known to contribute to medication errors. This case discussion reviews an error in the community setting involving a nonocular medication mistakenly administered as an eye drop due to look-alike packaging and recommends ways to improve storage and disposal processes to avoid similar incidents.
