It may surprise you that packaging or labeling confusion compose more medication errors than drug name confusion. There are two places this can easily happen. The first is the pharmacy, where the orders are filled. When the incoming stock is put away in the pharmacy, if one is not paying close enough attention, look-alike packaging may be put away in the wrong spot. So when someone goes to fill an order and grabs the drug off the shelf where it is always located, you can easily see where a look-alike packaging error may take place. The same goes for the patient’s med drawer that nurses use. Due to similar packaging or labeling, it is easy to make a mistake when administering medication to the patient.
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