MEDICATION ERRORS: What's in a name?

March 2004 
Volume 34  Number 3
Pages 20 - 20
  PDF Version Available!


  • Share your thoughts on safe drug storage

    Expecting to find 10% povidoneiodine (Betadine) ointment, a nurse in the OR noticed that the stocked product contained bacitracin and polymyxin B. Unlike the antimicrobial Betadine ointment that's been in use for 40 years, this “Betadine First Aid Antibiotics + Moisturizer” doesn't contain povidone-iodine. It's one of two products that extend the familiar brand name to indicate a different preparation. The other, “Betadine PLUS First Aid Antibiotics + Pain Reliever,” contains bacitracin, polymyxin B, and pramoxime.

    All three ointments have a large blue H on the label touting Betadine as the #1 brand in hospitals. Unfortunately, the icon increases the risk of confusing the products.

    Other brand-name products add extensions to a brand name to indicate ingredients that are completely different from those in the original, as evidenced by these examples: ...

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