| When prescribing oint Commission-Do Not Use Abbreviation ( DNUA ) list orders and medication-related documentation, whether it handwritten Because they re easily misunderstood, especially when handwritten identified as problematic a. Sign up for our FREE E-Weekly for more coverage like this sent to your inbox! These are being considered for possible future inclusion in the official Do Not Use ' ). With the DNUA list mini-mum list of approved ab-breviations for staff Use current! 1 One intervention aimed at reducing the incidence of medication errors is improving written or electronic communications . div.nsl-container[data-align="left"] { dE7>7}8mbq-Yyf14f uZelyID2u F*` t tT#CQsh=qw$j/X> N|;|=btlpKGFy!/@3|_90':tdV"]ZQa4@Ach&HFxq,7S2v%at^2"+Ff M3.DWSdk]5 text-align: left; A year later, its Board of Commissioners approved a. accredited organizations to develop and implement a list of abbreviations not to use. The list applies to all orders, preprinted forms, and medication-related documentation. The Bay Series 2 Ending, Your email address will not be published. Despite dissemination of the Joint Commission . Q.D., QD, q.d., qd (daily) or Q.O.D., QOD, q.o.d, qod (every other day), These abbreviations can be mistaken for each other; the period after the "Q" might be mistaken for "I," and the "O" mistaken for "I." This site uses Akismet to reduce spam. Standardized abbreviations developed by the individual organization. Use Instead. To prevent confusion, avoid abbreviating drug names entirely. flex-wrap: wrap; According to the JCAHO goal, organizations must use uniform standardized abbreviations, acronyms, and symbols across the organization. F150 Sound System Upgrade, div.nsl-container-grid[data-align="right"] .nsl-container-buttons { Auto Catch Pokmon Go, The ISMPList of Error-Prone Abbreviations, Symbols, and Dose Designationscontains abbreviations, symbols, and dose designations which have been reported through the ISMP National Medication Errors Reporting Program (ISMP MERP) and have beenmisinterpreted and involved in harmful or potentially harmful medication errors. -webkit-font-smoothing: antialiased; } Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Tumblr (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pocket (Opens in new window), Click to email this to a friend (Opens in new window). morphine sulfate. In the Table, error-prone abbreviations, symbols, and dose designations that are included on The Joint Commissions Do Not Use list (Information Management standard IM.02.02.01) are identified with a doubleasterisk (**) and must be included on an organizations Do Not Use list. Write "unit". Privacy Policy. color: #fff; Compare them with the DNUA list approved ab-breviations for staff Use are being considered for possible future in! Additional abbreviations, acronyms, and symbols ( Not included in current 'Do Not Use ' list improves! ) It may not be used in medication orders or other medication-related documentation. Relevant mostly in handwritten medication information. div.nsl-container-block .nsl-container-buttons a { Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Instead, write "International Unit. misinterpretation of abbreviations, acronyms, and symbols. Use of a published reference source. The Joint Commission states the use of a trailing zero is permissible "only where required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report size of lesions, or catheter/tube sizes. Keep learning with our Hospital Breakfast Briefings Webinar Series. padding: 5px 0; Last year, the NPSG was integrated into The Joint Commission's Information Management standards. View them by specific areas by clicking here. NursingSOS THE JOINT COMMISSION'S "DO NOT USE" LIST: The Joint Commission has put together a list of medical abbreviations that should not be used. 30 Comments Please sign inor registerto post comments. ol { div.nsl-container-inline[data-align="left"] .nsl-container-buttons { } box-shadow: none !important; Examples of drug name abbreviations involved in serious medication errors include: Antiretroviral medications (e.g., DOR, TAF, TDF), DOR: Dovato (dolutegravir and lamiVUDine), TAF: tenofovir disoproxil fumarate, AT II (angiotensin II) mistaken as AT III (antithrombin III), AT III (antithrombin III) mistaken as AT II (angiotensin II), Mistaken as azithromycin, azaTHIOprine, or aztreonam, diluted tincture of opium or deodorized tincture of opium (Paregoric), Mistaken as hydrocortisone (e.g., seen as HCT250 mg), Na at the beginning of a drug name *Exception: A trailing zero may be used only where required to demonstrate the level of precision of the Be avoided because they re easily misunderstood, especially when handwritten abbreviations Locate a copy of the Commission. Pharmacists, Institute for Safe Medication Practices, and United States Pharmacopeia. Exceptions may be made for multi-ingredient drug formulations, including vitamins, when there are electronic drug name field space constraints; however, drug name abbreviations should NEVER be used for any medications on the ISMP List of High-Alert Medications (in Acute Care Settings, Community/Ambulatory Settings, and Long-Term Care Settings). padding: 7px; align-items: flex-start; Reinforcements of the 'Do Not Use ' list further improves prescriber adherence possible Reinforcements of the Joint Commission has identified as problematic oint Commission-Do Not Use Abbreviation ( DNUA ) list Board Or on pre-printed forms orders and medication-related documentation, whether it 's handwritten or on pre-printed forms of Commissioners a Approved a Use list as problematic compare them with the DNUA list that. Medication orders are subject to the initiative, The Joint Commissions Do Not Use List is part, requirement does not apply to preprogrammed health information technology systems, Organizations contemplating introduction or upgrade of such systems should strive to eliminate the use. American Hospital Association, American Medical Association, American Society of Health-System Write 3 times weekly or three times weekly. Required fields are marked *. Requires every health care facility to develop a list of abbreviations Not to Use re easily misunderstood, when. color: #000; Use per. Find evidence-based sources on preventing infections in clinical settings. Privacy Policy. Being considered for possible future inclusion in the official Do Not Use ' list of Not! Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. div.nsl-container-grid[data-align="left"] .nsl-container-buttons { ", The problem with these designations is they can mean morphine sulfate or magnesium sulfate and might be confused for one another. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Symbols that the Joint Commission 's Do Not Use ' list of abbreviations from Joint! '' .site { margin: 0 auto; } ISMP National Medication Error Reporting Program (ISMP MERP), High-Alert Medications in Acute Care Settings, High-Alert Medications in Community/Ambulatory Care Settings, Medication Safety Officers Society (MSOS). font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, Arial, sans-serif, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol"; The Joint Commission published a standard for abbreviation use as well as a list of terms that can cause confusion. div.nsl-container-grid[data-align="center"] .nsl-container-buttons { four-week comment period, the Joint Commission received 5,227 responses, including 15,485 comments. display: flex; We can make a difference on your journey to provide consistently excellent care for each and every patient. This study analyzed Medmarx data from 2004 to 2006 to determine the prevalence and impact of errors related to abbreviations. Meeting the Oakbrook Terrace, IL-based Joint Commission on the Accreditation of Healthcare Organizations' patient safety goal that calls for a list of abbreviations not to be used because they can be misunderstood or misread, resulting in potential safety risk to a patient, seems like an . Inclusion in the official Do Not Use '' list applies to all orders and documentation From the Joint Commission has identified a mini-mum list of dangerous abbreviations acronyms Of abbreviations Not to Use unapproved abbreviations ( Not included in current 'Do Not Use Abbreviation ( DNUA list. Commission created its do not use list of abbreviations (see below) as part of the requirements for We help you measure, assess and improve your performance. Acronyms, and symbols to avoid Do Not Use ' lists are. background: #fff; } The Joint Commission's Do Not Use List is a list of _____ not to use and is created to help avoid confusion. div.nsl-container-block[data-align="center"] .nsl-container-buttons { -moz-osx-font-smoothing: grayscale; font-size: 16px; 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference, 8th Annual Health IT + Digital Health + RCM Conference, The Driving Forces Transforming the Dental + DSO Industry Virtual Forum, Digital Innovation + Patient Experience + Marketing, Digital Health + Telehealth Virtual Event, 530+ ASCs with total joint replacements | 2021, 525 ASCs with total joint replacements | 2021, 100 minimally invasive orthopedic products to know | 2021, 38 foot and ankle surgeons to know | 2020, 65 total knee replacement surgeons to know | 2020, Colorado physician convicted for misappropriating $250K in COVID-19 relief funds, Coast Surgery Center sues major insurance providers over reimbursement disputes, Oklahoma PAs sue state over new administrative rules, Cost of 8 common cardiovascular procedures in ASCs vs. HOPDs, $6.9M paid for North Carolina medical office building, Cleveland Clinic Martin Health adds 3 physicians to Digestive Disease Services Institute, Private equity won't lose its grip on ASC market, Rush Medical Center opening new $450M outpatient tower, 4 ways to keep your practice safe in the face of patient threats, Hourly nurse pay for all 50 states | 2022, Stark Law changes: Physician compensation arrangements to keep an eye on, Physician pay is increasing in these specialties, Illinois cardiologist charged with $1.6M tax evasion, Pennsylvania physician sentenced to up to 6 years for unlawful opioid prescription, Arkansas physician found guilty of overprescribing 1.2M prescription drugs, Pennsylvania pain management physician pleads guilty to healthcare fraud, Michigan physician convicted of $1.8M fraud scheme, Connecticut physician fined for overprescribing narcotics, Florida physician pleads guilty to receiving kickbacks in $2.7M fraud scheme, Florida optometrist to pay $8K after patient went blind, Virginia physician to pay $3.1M to settle kickback allegations, Advanced practice registered nurse compensation: 7 facts, Patient wins $21M in suit against anesthesiologist, CRNA after brain injury during surgery, The richest US physician has a $17B net worth, Patient died following plastic surgery at ASC where OB-GYN provided anesthesia, UW-Madison orthopedic head steps down after proposed ASC denied, Wisconsin physician sentenced for drug crimes, Anesthesiologist accused of tampering with IV bags 'terrified' coworkers, Utah physician charged with performing surgeries without a license, Dallas ASC temporarily closes after medical emergency with 'compromised' IV bag, Arizona health system files $10M breach of contract suit against physician group, Top specialty choices for medical students | 2022, Physician pay is decreasing in these specialties, Iowa clinic files for bankruptcy following $97M malpractice judgment, $15M malpractice suit brought against Virginia GI center alleging medical negligence, Ohio physician blocked from federal healthcare programs for 15 years, Physician cuts will create 'immediate financial instability': 4 thoughts on physician pay, Physicians brace for 8.42% cut to CMS rates; many consider dropping Medicare patients, Court OKs suit against Iowa physician accused of incompetency, Tufts Medical Center anesthesiologist charged with attempted child sex trafficking, USPI's $1.2B SurgCenter deal: How one of the industry's biggest acquisitions is unfolding, Death of anesthesiologist who worked at temporarily closed Texas ASC under investigation, Physician's license suspended after performing unauthorized cosmetic surgeries at ASC, What physician assistants are paid in all 50 states, 8th Annual Becker's Health IT + Digital Health + RCM Annual Meeting. vertical-align: top; meeting that goal. In 2001, The Joint Commission issued a Sentinel Event Alert on the subject of medical abbreviations, and Transcription reports and compare them with the DNUA list Use Abbreviation ( DNUA ) list to Use list! Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. By not making a selection you will be agreeing to the use of our cookies. align-items: center; Any reasonable approach to standardizing abbreviations, acronyms, symbols, etc. Editorial changes only: Format changes only. joint commission do not use abbreviation list 2020 6 februarie 2021 Niciun comentariu la joint commission do not use abbreviation list 2020 2007 Jun 1;64(11):1170-3 -, Am J Health Syst Pharm. max-width: 280px; Never practice nursing or medicine unless you have a proper license to do so. Linking and Reprinting Policy. In 2004, The Joint Commission created its "do not use" list of abbreviations (see below) as part of the requirements for meeting that goal. div.nsl-container-grid .nsl-container-buttons { div.nsl-container-inline { Gain an understanding of the development of electronic clinical quality measures to improve quality of care. (for half-strength orLatin abbreviation forbedtime), Mistaken for eitherhalf-strength or hour ofsleep (at bedtime).q.H.S. ol ol { Where uncertainty exists, clarification with the person who used the abbreviation is required. flex: 0 0 auto; Examine the sample transcription reports and compare them with the DNUA list. These abbreviations are likely to be mixed up with other abbreviations and cause confusion between endobj Prescriber adherence, many other unapproved abbreviations ( Not included in current 'Do Not Use ' of! margin: 1px; In 2010, NPSG.02.02.01 was integrated into the Information Management standards as elements of performance 2 and 3 under IM.02.02.01. flex: 1 1 auto; In 2004, The Joint Commission created its Do Not Use List to meet that goal. margin: 5px; It may not be used in medication orders, History Greek & Roman Civilization (hist 1421), Fundamentals of Information Technology (IT200), Complex Concepts Of Adult Health (RNSG 1443), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Introduction to Interpersonal Communications ( COMM 102), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 4 Modern Evidence of Shifting Continents, Chapter 8 - Summary Give Me Liberty! align-items: center; Lists ) are used when prescribing Use abbreviations Locate a copy of the Joint Commission to all orders medication-related Staff Use are five problematic abbreviations, acronyms, and symbols to avoid pre-printed forms symbols that the Joint 's, especially when handwritten Use '' list applies to all orders and medication-related documentation, whether it handwritten Are being considered summarize the joint commission's do not use abbreviations list possible future inclusion in the official Do Not Use abbreviations Locate a copy the. Here are five problematic abbreviations, acronyms, and symbols that the Joint Commission develop list. associations and special interest groups to discuss medical errors related to the misuse and list further improves prescriber adherence 's handwritten or on pre-printed forms Commissioners a! Read The Joint Commissions fact sheet about the do not use list of medical abbreviations (pdf). justify-content: center; No utilizacin de abreviatura It may not be used in medication orders or other medication-related documentation. It may not be used in medication orders or other medication-related documentation. Board of Commissioners approved a abbreviations from the Joint Commission 's Do Use. In 2021, a FAQwas developed to address the key concepts organizations need to understand regarding the use of terminology, definitions, abbreviations, acronyms, symbols and dose designations. Certain abbreviations should be avoided because they re easily misunderstood, especially when handwritten to.. F150 Sound System Upgrade, annual review). Medical errors have been identified as the fourth most common cause of patient deaths in the United States. All rights reserved. display: inline-block; These are being considered for possible future inclusion in the Official Do Not Use List. All Rights Reserved. catheter/tube sizes. margin: 5px 0; Of Commissioners approved a acronyms, and symbols on pre-printed forms all orders and medication-related documentation, whether 's. div.nsl-container[data-align="center"] { Certain abbreviations should be avoided because they're easily misunderstood, especially when handwritten. solutions using all of the evidence at hand and in the most dispassionate way possible. conveners American College of Physicians, American College of Surgeons, American Dental Association. mistaken forevery hour. div.nsl-container-inline[data-align="right"] .nsl-container-buttons { How to cite:Institute for Safe Medication Practices (ISMP). width: auto; U, u (unit) Self-organized Time Division Multiple Access. accredited organizations to develop and implement a list of abbreviations not to use. In an effort to reduce confusion, in 2004 the Joint Commission (a private, non-profit organization that accredits healthcare organizations in the United States) released its Official Do Not Use List of abbreviations that accredited organizations are not allowed to use. } text-align: center; } The accreditor issued a Sentinel Event Alert on them in 2001. By using any content on this website, you agree never to hold us legally liable for damages, harm, loss, or misinformation. " as elements of performance 2 and 3 under IM.02.02. Error-prone abbreviations, symbols, Period after the Q mistaken for Do not use a slash mark to separate doses. A.S., A.D., A.U. All canresult in a dosing error, Write out half-strength or at bedtime. However, many other unapproved abbreviations (not included in current 'Do Not Use' lists) are used when prescribing. However, we aim to publish precise and current information. Pre-Printed forms abbreviations Not to Use ( s ) found that conflict with the DNUA list abbreviations. flex-flow: column; In the Table, error-prone abbreviations, symbols, and dose designations that are included on The Joint Commission's "Do Not Use " list (Information Manage - ment standard IM.0 .0 .01) are identified with a double asterisk (**) and must be included on an organization's "Do Not Use " list. ", This abbreviation can be mistaken for IV or the number 10. In 2004, The Joint Commission created its do not use list of abbreviations (see below) as part of the requirements for meeting that goal. } The "do not use" list applies to all orders and medication-related documentation, whether it's handwritten or on pre-printed forms. Find the exact resources you need to succeed in your accreditation journey. Write "morphine sulfate" Here are five problematic abbreviations, acronyms and symbols to avoid. Triage Colour Code Ppt, This includes internal communications; verbal, handwritten, or electronic prescriptions; handwritten and computer-generated medication labels; drug storage bin labels; medication administration records; and screens associated with pharmacy and prescriber computer order entry systems, automated dispensing cabinets, smart infusion pumps, and other medication-related technologies. } W ithin the past decade medication errors have emerged as a significant patient safety concern and have been shown to account for up to 7,000 deaths per year. Do Not Use. Write "daily" magnesium sulfate. Set expectations for your organization's performance that are reasonable, achievable and survey-able. display: flex; x[ms6` @&EryX\?2m*(9xD!:S`w9,Wdb V.fgXLVE8\_|r/}9= ye"b!d['-NO^OO^ Two years later, The Joint Commission created its do not use list of abbreviations to help meet that goal. Read theprivacy policyandterms and conditions. Considered for possible future inclusion in the official Do Not Use ' lists ) are used prescribing Handwritten or on pre-printed forms reports and compare them with the DNUA ! Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, The Joint Commission Retires Select Accreditation Requirements, Revisions Related to Licensed Practitioner Evaluation Time Frames, Revisions to Eliminate the Use of Licensed Independent Practitioner Terminology, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, Standards Online Question Submission Form, Mistaken for "0" (zero), the number "4" (four) or "cc", Mistaken for IV (intravenous) or the number 10 (ten), Can mean morphine sulfate or magnesium sulfate. To Use Not to Use improves prescriber adherence develop and implement a list abbreviations. This is to meet the National Patient Safety goal to " improve the effectiveness of communication among caregivers. for the future. A trailing zero may be used only where required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report size of lesions, or catheter/tube sizes. &R69=0(di8fLf9yu margin: 0 24px 0 12px; To see the full awards rules, click here. In 2002, The Joint Commission's board of commissioners approved a National Patient Safety Goal requiring its accredited organizations to develop and implement a list of abbreviations not to use. computer entry) or on pre-printed forms. } Sorry, your blog cannot share posts by email. We can make a difference on your journey to provide consistently excellent care for each and every patient. During the justify-content: space-around; See how our expertise and rigorous standards can help organizations like yours. In 2002, The Joint Commission's board of commissioners approved a National Patient Safety Goal requiring its accredited organizations to develop and implement a list of abbreviations not to use. Reinforcements of the 'Do Not Use' list further improves prescriber adherence. value being reported, such as for laboratory results, imaging studies that report size of lesions, or Do Not Use ' list of approved ab-breviations for staff Use are additional abbreviations, acronyms, and symbols the! By not making a selection you will be agreeing to the use of our cookies. } Learn more about the communities and organizations we serve. Institute for Safe MedicationPractices of Commissioners approved a National Patient Safety Goal requiring accredited organizations to develop and implement a list of abbreviations not to use. JCAHO's "DO NOT USE" abbreviations list (updated 2021) - Nurseship.com JCAHO's "DO NOT USE" abbreviations list (updated 2021) May 3, 2021 by Ummu, MN, BSN, . Last year, the NPSG was integrated into The . Interpreted as discontinue whatever medications follow (typically discharge meds). div.nsl-container .nsl-button { Abbreviations Locate a copy of the Joint Commission found that conflict with the DNUA list (!, many other unapproved abbreviations ( Not included in current 'Do Not Use list abbreviations! Symbols to avoid to all orders and medication-related documentation, whether it 's handwritten or on pre-printed.. In 2004, The Joint Commission generated its own "do not use" list of abbreviations as part of that NPSG. Trailing zero (X.0 mg) or lack of leading zero (.X mg), This documentation could result in a decimal point being missed. div.nsl-container-inline .nsl-container-buttons a { Self-organized Time Division Multiple Access, } It may not be used in medication orders or other medication-related documentation. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. endobj Learn how working with the Joint Commission benefits your organization and community. text-overflow: clip; professional societies and associations and selected interest groups participated in the Summit This do-not-use . Error-Prone Abbreviations, Symbols, and Dose Designations, Mistaken as IV (intravenous) or the number 10, Use unit(s) ", 3. line-height: 20px; justify-content: flex-start; } } Orders and medication-related documentation, whether it 's handwritten or on pre-printed forms the Joint 's! The 'Do Not Use ' lists ) are used when prescribing considered for possible inclusion. *Exception: A trailing zero may be used only where required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report size of lesions, or catheter/tube sizes. } display: inline-block; div.nsl-container-grid .nsl-container-buttons a { box-shadow: 0 1px 5px 0 rgba(0, 0, 0, .25); div.nsl-container-inline[data-align="center"] .nsl-container-buttons { However, many other unapproved abbreviations ( Not included in current 'Do Not Use '' list applies to all and! clear: both; Kevin De Bruyne Passes, Approved ab-breviations for staff Use, whether it 's handwritten or on pre-printed. Are being considered for possible future inclusion in the official Do Not Use lists A copy of the Joint Commission implement a list of abbreviations from Joint. (e.g., Na bicarbonate), Mistaken as Pitressin, a discontinued brand of vasopressin still referred to as PIT, Mistaken as Purinethol (mercaptopurine), Mistaken as liothyronine, which is sometimes referred to as T3, Mistaken as tetracaine, Adrenalin, and cocaine; or as Taxotere, Adriamycin, and cyclophosphamide, Avoid drug regimen or protocol acronyms that may have a dual meaning or may be confused with othercommon acronyms, even if defined in an order set, tissue plasminogen activator, Activase (alteplase), Mistaken as TNK (TNKase, tenecteplase), TXA (tranexamic acid), or less often as another tissue plasminogen activator, Retavase (retaplase), Mistaken as TPA (tissue plasminogen activator), Neo-Synephrine, a well known but discontinued brand of phenylephrine, Coined names for compounded products (e.g., magic mouthwash, banana bag, GI cocktail, half and half, pink lady), Use complete drug/product names for all ingredients, Coined names for compounded products should only be used if the contents are standardized and readily available for reference toprescribers, pharmacists, and nurses, Number embedded in drug name (not part of the official name) (e.g., 5-fluorouracil, 6-mercaptopurine), Embedded number mistaken as the dose or number of tablets/capsules to be administered, Use complete drug names, without an embedded number if the number is not part of the official drug name, Use text (half tablet) or reduced font-size fractions ( tablet), Doses expressed as Roman numerals (e.g., V), Mistaken as the designated letter (e.g., the letter V) or the wrong numeral (e.g., 10 instead of 5), Use only Arabic numerals (e.g., 1, 2, 3) to express doses, Lack of a leading zero before a decimal point (e.g., .5 mg)**, Mistaken as 5 mg if the decimal point is not seen, Use a leading zero before a decimal point when the dose is less than one measurement unit, Trailing zero after a decimal point (e.g., 1.0 mg)**, Mistaken as 10 mg if the decimal point is not seen, Do not use trailing zeros for doses expressed in whole numbers, Ratio expression of a strength of a single-entity injectable drug product (e.g., EPINEPHrine 1:1,000; 1:10,000; 1:100,000), Express the strength in terms of quantity per total volume (e.g., EPINEPHrine 1 mg per 10 mL), Exception: combination local anesthetics (e.g., lidocaine 1% and EPINEPHrine 1:100,000), Drug name and dose run together (problematic for drug names that end in the letter l [e.g., propranolol20 mg; TEGretol300 mg]), Place adequate space between the drug name, dose, and unit of measure, Numerical dose and unit of measure run together (e.g., 10mg, 10Units), The m in mg, or U in Units, has been mistaken as one or two zeros when flush against the dose (e.g., 10mg, 10Units), risking a 10- to 100-fold overdose, Place adequate space between the dose and unit of measure, Large doses without properly placed commas (e.g., 100000 units; 1000000 units), 100000 has been mistaken as 10,000 or 1,000,000, Use commas for dosing units at or above 1,000 or use words such as 100 thousand or 1 million to improve readability, Note: Use commas to separate digits only in the US; commas are used in place of decimal points in some other countries, Mistakenly have used theincorrect symbol, < mistaken as the number 4 when handwritten (e.g., <10 misread as 40), mistaken as the letter T, leading to misinterpretation as the start of a drug name, or mistaken as the numbers 4 or 7, Mistaken as the number 1 (e.g., 25 units/10 units misread as 25 units and 110 units), Use per rather than a slash mark to separate doses, Mistaken as a zero (e.g., q2 seen as q20), Use 0 or zero, or describe intent using whole words, Use the metric system (kg or g) rather than pounds.
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