AR: An article by the Institute for Safe Medication Practices reminds healthcare practitioners how dangerous it can be to misread the letters and numbers on prescriptions, drug orders and medical records. Unfortunately, these mistakes are easy to make because some of the alphanumeric symbols we use look so similar.
MB: Research has shown that more than 50% of letter-number errors come from just four basic mix-ups:
• Between the letter "L" and the number "1";
• Between the letter "O" and the number "0";
• Between the letter "Z" and the number "2"; and,
• Between the numbers "1" and "7".
These mix-ups are most likely to occur when the information contains both letters and numbers, as in most medication orders. Go to our website to find the ISMP article, which includes a list of more than 20 commonly-confused letters and numbers.

标题
Letter and Number Misreading Errors (FDA)

视频介绍
FDA Patient Safety News - March, 2010 - Show #96
ISMP reminds healthcare practitioners how dangerous it can be to misread the letters and numbers on prescriptions, drug orders and medical records.

Speaker #1: Anita Rayner (AR), Associate Director, Policy & Communications, U.S. Food and Drug Administration

Speaker #2: Mark Barnett (MB), Assistant Director, Education & Communication, U.S. Food and Drug Administration