Summary
Wrong drug events (WDEs) occur when a patient receives a medication different from the one intended, can cause serious patient harm. In this study, researchers analysed patient safety event reports from the Pennsylvania Patient Safety Reporting System and identified the individual specific medications, pairs, and classes most frequently involved in WDEs and summarised the serious events that resulted in patient harm. Their work highlights the importance of giving close attention to medications with similar names, particularly those within the same medication class that share the same stem, such as “phrine” as in epinephrine and norepinephrine.
Content
The study's findings are summarised in the infographic below:
Wrong drug events across Pennsylvania healthcare facilities: A systematic analysis of medication pairs, class patterns, and clinical safety implications (6 May 2025)
https://patientsafetyj.com/article/134046-wrong-drug-events-across-pennsylvania-healthcare-facilities-a-systematic-analysis-of-medication-pairs-class-patterns-and-clinical-safety-implicatio
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