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OCTOBER 3, 2024

ISMP alert:

Dynamic Search Function Could Prevent ADC Drug Errors

By Gina Shaw

Automated dispensing cabinet (ADC) vendors should incorporate dynamic search capabilities to prevent medication errors with drug names that look alike or sound alike, urged experts from the Institute for Safe Medication Practices (ISMP) in a May 31 Call to Action. The letter also included several other safe practice recommendations for drug selection (see box).

Since 2019, ISMP has recommended entering at least the first five characters of a drug name, unless the name has fewer than