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Medical News & Perspectives
June 4, 2014

Group Urges Going Metric to Head Off Dosing Mistakes

JAMA. 2014;311(21):2159-2160. doi:10.1001/jama.2014.5090

Consider the following real-life scenarios:

These real and serious cases—one resulted in a child’s death—illustrate a small sample of liquid dosing errors that have been reported to the Institute for Safe Medication Practices (ISMP). The ISMP has received at least 50 reports of just 1 type of error, confusing milliliters with teaspoons. The reports provide a window into how easily nonstandardized dosing can compromise medication safety and have spurred a public-private effort to standardize liquid medication dosing for products obtained at community pharmacies.

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