Look Alike Sound Alike Medications

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org. 

4 posts / 0 new
Log in or register to post comments
Last post
Wed, 12/18/2019 - 10:59
#1
Jennifer Foglio
Jennifer Foglio's picture
Offline
Last seen: 3 months 6 days ago
Joined: 03/30/2016 - 14:58
Look Alike Sound Alike Medications

Hello MSOS members,

I would like to know how your organization mitigates risk with look-alike sound-alike (LASA) medications. Specifically, what are the immediate steps taken at your organization when a product mix-up due to look alike packaging has been identified? I'd like to incorporate an SOP in our organization's LASA policy that outlines a process for physically auditing all patient care and pharmacy areas where the products in question are stored to ensure no additional mix-ups exist, and to segregate the products if necessary. I'm interested in knowing whether other sites have adopted something similar, and if so, what does this process look like. Thank you for your time!

Jennifer Foglio
Adverse Drug Event Coordinator
Cleveland Clinic

Tags: 

Top