Case Report
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Year 2024, Volume: 15 Issue: 3, 84 - 86, 22.09.2024
https://doi.org/10.33706/jemcr.1495028

Abstract

References

  • 1. Pazan F, Wehling M. Polypharmacy in older adults: a narrative review of definitions, epidemiology and consequences. Eur Geriatr Med. 2021 Jun;12(3):443-52. Epub 2021 Mar 10. PMID: 33694123.
  • 2. Simpson, J., & Weiner, E. S. C. Editor. The Oxford English Dictionary 2nd ed., Vols. 1-20. Oxford University Press. 1989(Entry: “homophone”).
  • 3. Mira JJ, Lorenzo S, Guilabert M, Navarro I, Pérez-Jover V. A systematic review of patient medication error on selfadministering medication at home. Expert Opin Drug Saf. 2015 Jun;14(6):815-38.
  • 4. Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: A systematic review. Res Social Adm Pharm. 2021 Nov;17(11):1877-1886.
  • 5. Hoffman JM, Proulx SM. Medication errors caused by confusion of drug names. Drug Saf. 2003;26(7):445-52.
  • 6. Gentin DA. You say Zantac, I say Xanax: a critique of drug trademark approval and proposals for reform. Food Drug Law J. 2000;55(2):255-67.
  • 7. Bryan R, Aronson JK, Williams AJ, Jordan S. A systematic literature review of LASA error interventions. Br J Clin Pharmacol. 2021 Feb;87(2):336-351. Epub 2020 Dec 15. PMID: 33197079.
  • 8. Mulhem E, Lick D, Varughese J, Barton E, Ripley T, Haveman J. Adherence to medications after hospital discharge in the elderly. Int J Family Med. 2013;2013:901845. Epub 2013 Mar 26. PMID: 23589775
  • 9. Lim LM, Chiu LH, Dohrmann J, Tan KL. Registered nurses’ medication management of the elderly in aged care facilities. Int Nurs Rev. 2010 Mar;57(1):98-106.
  • 10. Venot A. Electronic prescribing for the elderly: will it improve medication usage? Drugs Aging. 1999 Aug;15(2):77-80.

Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient

Year 2024, Volume: 15 Issue: 3, 84 - 86, 22.09.2024
https://doi.org/10.33706/jemcr.1495028

Abstract

Introduction:
An aging population presents significant challenges in pharmacotherapy oversight, with elderly individuals often lacking comprehensive information about their medical conditions.
Case Report:
This paper addresses medication errors in the elderly, highlighting a case study of a 68-year-old male who ingested Warfarin® instead of Famodin®, leading to a severe overdose.
Conclusion:
The incident underscores the risks of phonetic confusion in drug names and the necessity for robust safety protocols. Collaborative efforts among healthcare stakeholders are crucial to ensuring safe medication administration and reducing errors.

References

  • 1. Pazan F, Wehling M. Polypharmacy in older adults: a narrative review of definitions, epidemiology and consequences. Eur Geriatr Med. 2021 Jun;12(3):443-52. Epub 2021 Mar 10. PMID: 33694123.
  • 2. Simpson, J., & Weiner, E. S. C. Editor. The Oxford English Dictionary 2nd ed., Vols. 1-20. Oxford University Press. 1989(Entry: “homophone”).
  • 3. Mira JJ, Lorenzo S, Guilabert M, Navarro I, Pérez-Jover V. A systematic review of patient medication error on selfadministering medication at home. Expert Opin Drug Saf. 2015 Jun;14(6):815-38.
  • 4. Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: A systematic review. Res Social Adm Pharm. 2021 Nov;17(11):1877-1886.
  • 5. Hoffman JM, Proulx SM. Medication errors caused by confusion of drug names. Drug Saf. 2003;26(7):445-52.
  • 6. Gentin DA. You say Zantac, I say Xanax: a critique of drug trademark approval and proposals for reform. Food Drug Law J. 2000;55(2):255-67.
  • 7. Bryan R, Aronson JK, Williams AJ, Jordan S. A systematic literature review of LASA error interventions. Br J Clin Pharmacol. 2021 Feb;87(2):336-351. Epub 2020 Dec 15. PMID: 33197079.
  • 8. Mulhem E, Lick D, Varughese J, Barton E, Ripley T, Haveman J. Adherence to medications after hospital discharge in the elderly. Int J Family Med. 2013;2013:901845. Epub 2013 Mar 26. PMID: 23589775
  • 9. Lim LM, Chiu LH, Dohrmann J, Tan KL. Registered nurses’ medication management of the elderly in aged care facilities. Int Nurs Rev. 2010 Mar;57(1):98-106.
  • 10. Venot A. Electronic prescribing for the elderly: will it improve medication usage? Drugs Aging. 1999 Aug;15(2):77-80.
There are 10 citations in total.

Details

Primary Language English
Subjects Emergency Medicine, Geriatrics and Gerontology
Journal Section Case Report
Authors

Ömer Faruk Karakoyun 0000-0002-4476-7989

Cem Abacı 0009-0002-4078-0294

Halil Emre Koyuncuoğlu 0000-0002-3634-6850

Yalcin Golcuk 0000-0002-8530-8607

Publication Date September 22, 2024
Submission Date June 3, 2024
Acceptance Date September 11, 2024
Published in Issue Year 2024 Volume: 15 Issue: 3

Cite

APA Karakoyun, Ö. F., Abacı, C., Koyuncuoğlu, H. E., Golcuk, Y. (2024). Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient. Journal of Emergency Medicine Case Reports, 15(3), 84-86. https://doi.org/10.33706/jemcr.1495028
AMA Karakoyun ÖF, Abacı C, Koyuncuoğlu HE, Golcuk Y. Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient. Journal of Emergency Medicine Case Reports. September 2024;15(3):84-86. doi:10.33706/jemcr.1495028
Chicago Karakoyun, Ömer Faruk, Cem Abacı, Halil Emre Koyuncuoğlu, and Yalcin Golcuk. “Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient”. Journal of Emergency Medicine Case Reports 15, no. 3 (September 2024): 84-86. https://doi.org/10.33706/jemcr.1495028.
EndNote Karakoyun ÖF, Abacı C, Koyuncuoğlu HE, Golcuk Y (September 1, 2024) Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient. Journal of Emergency Medicine Case Reports 15 3 84–86.
IEEE Ö. F. Karakoyun, C. Abacı, H. E. Koyuncuoğlu, and Y. Golcuk, “Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient”, Journal of Emergency Medicine Case Reports, vol. 15, no. 3, pp. 84–86, 2024, doi: 10.33706/jemcr.1495028.
ISNAD Karakoyun, Ömer Faruk et al. “Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient”. Journal of Emergency Medicine Case Reports 15/3 (September 2024), 84-86. https://doi.org/10.33706/jemcr.1495028.
JAMA Karakoyun ÖF, Abacı C, Koyuncuoğlu HE, Golcuk Y. Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient. Journal of Emergency Medicine Case Reports. 2024;15:84–86.
MLA Karakoyun, Ömer Faruk et al. “Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient”. Journal of Emergency Medicine Case Reports, vol. 15, no. 3, 2024, pp. 84-86, doi:10.33706/jemcr.1495028.
Vancouver Karakoyun ÖF, Abacı C, Koyuncuoğlu HE, Golcuk Y. Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient. Journal of Emergency Medicine Case Reports. 2024;15(3):84-6.