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Clinical Crossroads Update
June 26, 2002

A 40-Year-Old Woman Who Noticed a Medication Error, 1 Year Later

JAMA. 2002;287(24):3258. doi:10.1001/jama.287.24.3258

In a Clinical Crossroads article published in June 2001, David W. Bates, MD, MSc, discussed a 40-year-old woman, Ms K, who encountered a medication error in the course of outpatient care.1 Incorrect medications—Stelazine (trifluoperazine hydrochloride) and ranitidine—were dispensed instead of stavudine and lamivudine. Ms K was fortunate because she noticed the error and was able to correct it and continue her antiretroviral medications uninterrupted.

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