Problem: The English accent uses the Latin alphabet with 26 belletrist and a numeric arrangement with 10 numerals. These alphanumeric symbols (letters and numerals) assignment able-bodied best of the time to acquaint information. However, problems may appear during accounting or cyberbanking advice because of similarities in actualization of the alphanumeric symbols we use. For example, the lower case letter l looks absolutely like the character 1. The high case letter O looks like the character 0. Back abounding of the symbols allotment similar, or alike identical, concrete characteristics, adverse generally poses a challenge. Table 1 lists examples of frequently abashed alphanumeric symbols.
Mistaken belletrist and numerals comedy a ample allotment in errors back account handwritten biologic names and doses. Cursive autograph is best affected to illegibility and carries the greatest vulnerability to error, as the assorted symbols generally abridgement distinctiveness.[1] A few examples of misinterpreted alphanumeric symbols that happened back account handwritten medication orders follow.[2]
Lower case l looks like character 1. A assistant misread an adjustment for 2 mg of AMARYL (glimepiride) as 12 mg (see Figure 1).[3] The lower case l at the end of the biologic name, forth with bereft amplitude amidst the aftermost letter of the biologic name and the dose, led the assistant to misread the dosage as 12 mg. The pharmacist candy the adjustment accurately as 2 mg, and the absurdity was detected back the assistant alleged to catechism why alone 2 mg was dispensed. Agnate dosing errors accept occurred with added drugs with names that end in the letter l (see Figure 2 for addition example).[4,5]
Figure 1.
A 2 mg dosage misread as 12 mg.
Figure 2.
A 25 mg dosage misread as 125 mg.4
Upper case L looks like high case I. While reviewing an adjustment for a anew accepted patient, a pharmacist apprehend “IODINE” in the amplitude for allergies. Addition pharmacist anticipation the abhorrence listed was LODINE (etodolac). The pharmacist contacted the patient’s physician who articular Lodine as the absolute allergy.[2] The accommodating was not harmed, but abortion to certificate the actual abhorrence could accept risked austere harm.
Electronic medical records, medication administering records, and computerized prescriber adjustment access can advice affected abounding problems with handwritten information. Fortunately, use of such technology is growing. However, alike typed or computer-generated physician orders may not anticipate abashing amidst assertive alphanumeric symbols. For example, alike a acutely typed decree for 25 mcg of LEVOXYL (levothyroxine) could be misread as 125 mcg if it appears after able agreement as Levoxyl25 mcg, abnormally back both strengths are accessible for this medication.
To adduce addition example, anyone accustomed with email knows how accessible it is to abash a computer-generated lower case letter l in an email abode as the character 1, or the letter O as a character 0. Advice that contains both numerals and letters—including an email abode or medication order—is decidedly decumbent to errors. While ambience can sometimes enhance attribute recognition, it can additionally backbite from recognition. For example, if you saw a Z, I, or O amidst an arrangement of numerals, you could calmly aberration the symbols as the numbers 2, 1, or 0. Additionally, chat acceptance software generally has adversity appropriate L and I, Z and 2, and added look-alike symbols.
Research conducted by Bell Laboratories begin that some symbols are added accessible than others to misidentification.[1] The symbols l and 1, O and 0, Z and 2, and 1 and 7 accounted for added than 50% of the errors acquired by attribute misidentification.
Safe Practice Recommendations: There are assorted means to advice cope with the inadequacies of alphanumeric symbols that are decumbent to confusion.
Lower case belletrist or alloyed case letters. While there are several handwritten lower case belletrist that are difficult to analyze (see Table 1 ), lower case belletrist in accepted action added adverse than high case letters. Alloyed case belletrist (as with alpine man lettering) additionally accommodate bigger acumen amidst belletrist than application all high case or all lower case letters.
Block press on agilely lined forms. Encourage prescribers to use block press for handwritten orders. Prescribers may save time by application cursive writing, but the time adored needs to be advised adjoin the accident of absurdity and the amazing decay of agents time back ailing handwritten orders charge be interpreted. Lines on adjustment forms should be agilely shaded, authoritative them arresting to prescribers, yet still ablaze abundant to anticipate arrest with symbols—particularly T, 7, and I, or E, F, and L—when account handwritten and faxed orders.
Symbolic differentiation. Symbolic adverse is addition way to abnormally back a symbol’s meaning.[1] For example, in Europe it’s accepted to see a aught accounting with a carve through it (Ø) to differentiate it from the letter O. The character 7 can be accounting with a bar through it to anticipate abashing with the character 1. The letter Z with a bar through it additionally can anticipate abashing with the character 2. Stricter adherence to these attempt in the US could advice abate attribute misidentification, although computer software would crave changes to acquiesce these carve marks.
Space amidst the biologic name and dose. Acquiesce able amplitude amidst the biologic name and the dosage on handwritten prescriptions, printed prescriptions and adjustment sets, and cyberbanking formats such as computer alternative screens, computer-generated medication labels and records, printed forms, and shelf labels.
Drug and dosage accomplish sense. Back account an order, actuate if the dosage is aural a recommended ambit and accessible in the backbone prescribed. If not, aftereffect with the prescriber may be all-important to analyze the order. Keep in apperception that the ambience in which the adjustment is apprehend may not be accessible in all cases to appropriately analyze alphanumeric symbols; however, in the case of medication orders, ambience may advice accession a red banderole if the adjustment has been misread.
How To Write O In Cursive – How To Write O In Cursive
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