title: [Medication error due to drug packaging: a case report].
abstract: Nowadays, occurrence of medication errors is a public health concern at hospital. Drug packaging represent one of the important causes of medication errors. The authors report a medication error associated with an erroneous interpretation of drug packaging information. This error was detected during the pharmaceutical review of the medical prescription. The nursing staff in charge of drug administering must thus be particularly aware of this risk. The potential clinical significance of this type of medication error may be important.
authors.forename: Ginestet
authors.initials: G
authors.lastname: Hélène'
authors.forename: Breton
authors.initials: B
authors.lastname: David
authors.forename: Spadoni
authors.initials: S
authors.lastname: Sophie
authors.forename: Jandard
authors.initials: J
authors.lastname: Vincent
authors.forename: Paillet
authors.initials: P
authors.lastname: Michel
authors.forename: Bohand
authors.initials: B
authors.lastname: Xavier
mesh_terms: D019380:Anti-HIV Agents / Q000009:adverse effects; D000077404:Cidofovir; D003596:Cytosine / Q000009:adverse effects / Q000031:analogs & derivatives; D004349:Drug Packaging; D011307:Drug Prescriptions; D006801:Humans; D008297:Male; D008508:Medication Errors / Q000009:adverse effects*; D063065:Organophosphonates / Q000009:adverse effects; D010607:Pharmacy Service, Hospital; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents; D063065:Organophosphonates; D003596:Cytosine; D000077404:Cidofovir