title: Self-reported therapeutic errors to a poison control center.
abstract: BACKGROUND
  The techniques for avoiding medication errors in healthcare settings can be extrapolated to improving pharmaceutical care and medication safety in the patient's home. Understanding patient self-dosing errors in self dosing is important in the development of prevention strategies.
  
  
  OBJECTIVE
  To examine cases of therapeutic errors in patient self dosing as reported to the Oklahoma Poison Control Center, with the goal of proposing prevention strategies and education.
  
  
  METHODS
  A retrospective study of self-dosing errors was performed examining root cause, patient age, and pharmaceutical agent.
  
  
  RESULTS
  Patient self-dosing errors accounted for 8.75% of all poison control exposures as compiled by the Oklahoma Poison Control Center in 2001. The most common reasons for therapeutic errors in all age groups involved taking or giving the wrong formulation or concentration, inadvertently taking/giving medication twice and another incorrect dose.
  
  
  CONCLUSIONS
  Patient education is the key to preventing therapeutic errors in the home.
authors.affiliation: Oklahoma Poison Control Center, Children's Hospital, OU Medical Center, 940 NE 13th St, Oklahoma City, OK 73104, USA.
authors.forename: Lee
authors.initials: L
authors.lastname: McGoodwin
mesh_terms: D000367:Age Factors; D062787:Drug Overdose; D006801:Humans; D008508:Medication Errors / Q000706:statistics & numerical data*; D009825:Oklahoma; D010353:Patient Education as Topic; D011039:Poison Control Centers / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012651:Self Medication / Q000706:statistics & numerical data*