Patient Safety Learning

Sodium chloride and Metronidazole - two different liquids for intravenous infusion stored together in similar packaging.

Heparinised saline and lignocaine injection. Potential drug error due to similar labelling?

Left is Calcium Gluconate solution, the right is Sodium Chloride solution.

In a reply to the tweet asking why this was a concern the doctor said: "One is a calcium based drug that could be really dangerous if given in too large quantities... The other is a saline solution that we often given as a flush after injecting other medications and things through a cannula."

Why isn't the generic name on medication labelling bigger than the trade and company name to make it easier to read?

Why does the packaging of these two eye drop packs look so similar? You have to read the back carefully to see the difference.

From a recent ISMP presentation. Confusion about labelling leading to risk of over dosing 

A dispensing error in the community today. Similar box, but 25x strength.