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Commentary
Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system.
April 8, 2015
Schnoor J, Rogalski C, Frontini R, et al. Patient Saf Surg. 2015;9:12.
Look-alike sound-alike medications can contribute to confusion and result in drug administration errors. This commentary illustrates how switching to a generic brand of medication to save costs was a factor in recurring underdosing errors. The authors provide recommendations to improve the safety of stocking medications.
