Look-Alike Drug Vials: Latest Stories & Gallery

Look-Alike Drug Vials

The following alerts and photos show how look-alike drug vials and packaging can contribute to medication errors and impact patient safety.

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Latest Alerts

Tranexamic Acid Injection, Bupivacaine HCI Injection
August 24, 2021

Tranexamic Acid Injection, Bupivacaine HCI Injection

Tranexamic Acid Injection, Bupivacaine HCI Injection

While working on Labor and Delivery unit, it is not uncommon a nurse will bring medication to the room for epidural administration. The Tranexamic Acid (TXA) vial and Bupivicaine vial are next to one another in the medication dispenser. They are similar in appearance minus the res portion of front label.

Submitted by
Andrea Regan, MScS, MSA, CAA
USAP NFL


HydrALAZINE Hydrochloride, Phenylephrine HCI Injection
August 23, 2021

HydrALAZINE Hydrochloride, Phenylephrine HCI Injection

HydrALAZINE Hydrochloride, Phenylephrine HCI Injection

Today I found Hydralizine and Phenylephrine vials intermixed. These two medications sit adjacent to each other in our Omnicell. …[T]he vials change regularly to include different sizes and colors…

Submitted by
Paul Packard, DNAP, CRNA, CPPS
Atrium Health

 


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