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South Dakota: A Sioux Falls Pharmacy Called the Prescriber Before a Harmful Dose Went Home

Sep 3
1 min read

The story

Look-alike names and wrong doses happen in every state, including South Dakota.

ISMP cases show the near-miss that never becomes a funeral because someone asked a question.

What happened next

The patient drove away unaware, which is the best ending.

A lesson you can use this week

Ask what a new medicine is for and what would be an emergency.

Sources

Institute for Safe Medication Practices; South Dakota Pharmacists Association safety reminders.

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