[e-drug] Confusing drug packaging contributes to death of 15 children

e-drug
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E-DRUG: Confusing drug packaging contributes to death of 15 children
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Dear E-druggers,
Here is an example of a 'preventable' medication error resulting in the
tragic death of 15 children and reported in the recent Lancet Global
Health. The chaotic condition in Syria may have contributed to this tragedy.

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E-DRUG: Confusing drug packaging contributes to death of 15 children (2)
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Dear E-druggers,

The recent publication from WHO with the title: Reporting & learning systems for medication errors: the role of pharmacovigilance centres' is relevant for this discussion thread.

This publication is one of the results of a EU funded project of 11 partners. You can access the publication at:

http://apps.who.int/iris/bitstream/10665/137036/1/9789241507943_eng.pdf?ua=1

This publication aims to provide a framework for advancing the application, coordination and optimal use of pharmacovigilance evidence, sharing that evidence and strengthening the links between national pharmacovigilance centres and other patient safety networks, to prevent medicines-related adverse events.

The publication aims to increase the capacity of national pharmacovigilance centres to analyze reports of medication errors, to identify preventable medication errors and also to support action to minimize the occurrence of preventable medication errors.

With Kind regards,
Dr Shanthi Pal
Safety & Vigilance
WHO
pals@who.int