The "os" can be mistaken as "left eye" (OS-oculus sinister) Mistaken as OD or OS (right or left eye) drugs meant to be diluted in orange juice may be given in the eye Mistaken as "right eye" (OD-oculus dexter), leading to oral liquid medications administered in the eye Premature discontinuation of medications if D/C (intended to mean "discharge") has been misinterpreted as "discontinued" when followed by a list of discharge medications Use "right eye," "left eye," or "each eye" Mistaken as AD, AS, AU (right ear, left ear, each ear) Use "right ear," "left ear," or "each ear" Mistaken as OD, OS, OU (right eye, left eye, each eye) Hazards, we can better protect our patients. By usingĪnd promoting safe practices and by educating one another about However, we hope that you willĬonsider others beyond the minimum TJC requirements. Safety Goal that specifies that certain abbreviations must appear onĪn accredited organization's do-not-use list we have highlighted these
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The Joint Commission (TJC) has established a National Patient Labels, labels for drug storage bins, medication administration records,Īs well as pharmacy and prescriber computer order entry screens. This includes internalĬommunications, telephone/verbal prescriptions, computer-generated Have been reported to ISMP through the USP-ISMP MedicationĮrror Reporting Program as being frequently misinterpreted and
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The abbreviations, symbols, and dose designations found in this table Download: ISMP's List of Error-Prone Abbreviations, Symbols, and Dose Designations