Phonetic Ambiguities: Risks of Drug Name Confusion in Elderly Patient
Yıl 2024,
Cilt: 15 Sayı: 3, 84 - 86, 22.09.2024
Ömer Faruk Karakoyun
,
Cem Abacı
,
Halil Emre Koyuncuoğlu
,
Yalcin Golcuk
Öz
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.
Kaynakça
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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.
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2. Simpson, J., & Weiner, E. S. C. Editor. The Oxford English
Dictionary 2nd ed., Vols. 1-20. Oxford University Press.
1989(Entry: “homophone”).
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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.
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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.
Yıl 2024,
Cilt: 15 Sayı: 3, 84 - 86, 22.09.2024
Ömer Faruk Karakoyun
,
Cem Abacı
,
Halil Emre Koyuncuoğlu
,
Yalcin Golcuk
Kaynakça
-
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.