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ISMP medication error report analysis.

Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume. Hosp Pharm. 2010;45(4). doi:10.1310/hpj4504-282.

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June 16, 2019
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45(4).
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This report discusses examples of serious medication errors involving "sound-alike" drugs as well as use of ambiguous abbreviations.

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Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume. Hosp Pharm. 2010;45(4). doi:10.1310/hpj4504-282.

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