Look-Alike Medication Packages and Patient Safety

Shih Chieh Shao, Edward Chia Cheng Lai, Kok Loon Owang, Hui Yu Chen, Yuk Ying Chan

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Medication errors substantially threaten patient safety, and their prevention requires clinical vigilance. We present a case of taking the wrong drug due to a dispensing error by pharmacists involving medication packaging confusion, and we report how we prevent similar dispensing errors by thorough investigation and intervention. This case emphasizes the need for constant attention by hospital, medical industry, and regulatory authorities to avoid look-alike medication packaging in the interest of medication safety.

Original languageEnglish
Pages (from-to)e47-e48
JournalJournal of Patient Safety
Issue number3
Publication statusPublished - 2018 Sep 1

All Science Journal Classification (ASJC) codes

  • Leadership and Management
  • Public Health, Environmental and Occupational Health


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