Tallman lettering is the name given to the practice of presenting part of a drug’s name in upper case to help differentiate between drug names that look or sound similar in order to avoid drug administration errors. An example of how Tallman lettering would be used to differentiate ‘prednisone’ and prednisolone’ would be ‘predniSONE’ and ‘prednisoLONE’. TALL MAN lettering Circle/highlight/underline differences DOUBLE CHECK against order and MAR before administration HIGH ALERT meds require independent double checks Physical separation in storage (with warning on shelf, different color bins) POTENTIALLY ERROR-PRONE DRUG PAIRS /GROUPS OF DRUGS POTENTIAL ERRORS &CONSEQUENCES ERROR PREVENTION MEASURES Loughborough (UK): National Health Service, NHS Connecting for Health; 2009 [cited 2015 Mar 15]. This represents a 38% increase since 2010 in employing tall man letters for more than 30 drug name pairs. 50 Years of Urinary Tract Infections and Treatments Facebook's AI Suicide Prevention Program: Likes and DislikesMedical Errors Jump After 'Spring Forward' to Daylight Saving TimeSteroid Emergency Card to Support Early Recognition and Treatment of Adrenal CrisisPharmacists Expanded Their Antimicrobial Stewardship Role During PandemicOhio's Pharmacy Board Bans Sale of HydroxychloroquineEMA Panel Recommends DPD Testing Prior to Fluorouracil Treatment Tall Man lettering should be used by clinicians and health service organisations in: • Electronic medication management \R�p���n:�f��E��>���t�i����~U�j�H��b��B�}���p�Jgٸ��� ISMP Med Saf Alert. The influence of tall man lettering on drug name confusion: a laboratory-based investigation in the UK using younger and older adults and healthcare practitioners. Tall Man lettering in pumps CarBAMazepine (Tegretol®) OXcarbazepine (Trileptal®) Similarity in generic and brand names may lead to errors Medications have some overlapping indications Physical separation in storage CarVEDilol (Coreg®) CapTOPril (Capoten®) Similarity in generic names, indication and dosage strengths may lead to errors Tallman Lettering. Commenting is limited to medical professionals. h��Wmo�8�+���S��/�VH�. TALL MAN LETTERING LIST REPRT The mid Tall Man lettering format is advocated as being the most effective and easily applied variant by the ACSQHC and UK National Health Service (NHS).2,10 However it is inconclusive whether Tall Man lettering is effective or not in preventing medicine selection errors.2,9–15,17–19 More studies ^��du����(�������{&�g�VF�"�:b�#6!Nj���(�8�6�� "��>"$t:E���8��8h��z�H�@�#R�< ��A�tJ������䳼�/ӱǏҠw�ܵZ��Suٯ� the environment is to be part h�\��N�0DeoMq�-�*E�8�"��b� ]d���>�nsxo4�ف���n��T�-�bY�:�Xt��TZ)�(��]I��r�Kemx��&��yϘ�l��h������\����!E�XLEkS|1�L�c���kq����|-��L�8QF�82\brP��(X�|Ch�ɓ�9q�s���&@�̘�W� G�3ه 171 0 obj <>stream Available from: 7 Drug information vendors (e.g., Medi-Span, First DataBank, Lexi-Comp) were cited as additional resources.The purpose and intended use of name pairs that require tall man letters are communicated to staff primarily via inservices, educational programs, and orientation (47%). Resources used to select the drug name pairs targeted for tall man letters included the ISMP list of name pairs with recommended tall man letters (63%), the FDA-approved list of name pairs with tall man letters (53%), and internal risk and error data (37%). Of these, approximately three-quarters of respondents agreed that the tall man letters suggested in the survey would help prevent mix-ups between: Many respondents shared their thoughts regarding other drug name pairs that were not included in the survey. Tall Man lettering is a typographic technique that uses selective capitalisation to help make look-alike, sound-alike (LASA) medicine name pairs easier to differentiate. For respondents who use tall man letters, 35% told us they use this strategy for 1–16 drug name pairs; 28% use it for 17–25 pairs; 13% for 26–36 pairs; and 24% for more than 36 name pairs. Tall man lettering. ���j�գe��,�/ %�Y� endstream endobj 172 0 obj <>stream Our single aim is to fulfill the requirements of our customers by procuring quality products, to save you money, without comprimising quality, and to serve you like no other. labels and bins, and medication records by highlighting, through bold face, color, and/or tall man letters, the parts of the names that are different (e.g. Difficulties with the use of tall man letters include inconsistent application in health settings and lack of standardization regarding which name pairs to include as well as which letters to present in uppercase. The List compiles look-alike sound-alike (LASA) medicine names (generic and brand name pairs) that have been predicted to pose the greatest risks to patient safety. d. Storing problem medications in separate locations or in non-alphabetical order, such as by bin number, on shelves, or in automated dispensing devices. Medications that should not be crushed because of their special pharmaceutical formulations or characteristics. This website also contains material copyrighted by 3rd parties. Please enter a Recipient Address and/or check the Send me a copy checkbox. Emphasize drug name differences using methods such as “tall man” lettering.