Best practice: Avoiding near misses with look-alike/soundalike drugs
Briefings on The Joint Commission, September 1, 2009
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In 2008, Linda Severson, RN, of Cherokee Mental Health Institute (CMHI), Cherokee, IA, was called into her superintendent's office after the facility had experienced a near miss pertaining to look-alike/sound-alike drugs. He asked her if there was anything she could do to prevent this kind of thing from happening again.
In response, Severson took matters into her own hands and changed the CMHI computer system settings for all look-alike/sound-alike drugs so that they show up differently than the rest by default. This change brings additional attention to look-alike/sound-alike drugs to the person entering the record.
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