A technician at Hollowmere Pharmacy receives an electronic prescription for a patient named Cassian Delgado that the system displays in plain lower case as celecoxib. The pharmacy's safety committee wants to reduce mix-ups with the sound-alike products citalopram and Celexa during dispensing. Which committee decision best targets the cause of this particular confusion?
- AShorten the patient counselling session so the pharmacist can verify more prescriptions each hour
- BReassign all data entry for these products to the most senior technician on each shift
- CApply Tall Man lettering to the confused names on shelf labels and screens, such as celeCOXIB and citalopram Correct
- DPrint every prescription in a larger font so the drug name is easier to read at a glance
Why A is wrong: Reducing counselling time increases throughput but removes a final chance to catch an error and does nothing to address the name similarity that triggers the confusion.
Why B is wrong: Seniority does not immunise a person against a look-alike name displayed in plain text, so this relies on individual vigilance rather than fixing the systemic display problem.
Why C is correct: Applying Tall Man lettering to the differing portions of confused names on labels and screens is the targeted system control that visually breaks up sound-alike and look-alike names at the point of dispensing.
Why D is wrong: A larger font improves legibility of a single name but makes a misread word only more prominent, since it does not distinguish names that look and sound alike in the first place.