Dangerous Abbreviations | NCC MERP

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Dangerous Abbreviations
Abbreviation Intended meaning Common Error
U Units Mistaken as a zero or a four (4) resulting in overdose. Also mistaken for "cc" (cubic centimeters) when poorly written.
µg Micrograms Mistaken for "mg" (milligrams) resulting in an overdose.
Q.D. Latin abbreviation for every day The period after the "Q" has sometimes been mistaken for an " I, " and the drug has been given "QID" (four times daily) rather than daily.
Q.O.D. Latin abbreviation for every other day Misinterpreted as "QD" (daily) or "QID" (four times daily). If the "O" is poorly written, it looks like a period or "I."
SC or SQ Subcutaneous Mistaken as "SL" (sublingual) when poorly written.
T I W Three times a week Misinterpreted as "three times a day" or "twice a week."
D/C Discharge; also discontinue Patient's medications have been prematurely discontinued when D/C, (intended to mean "discharge") was misinterpreted as "discontinue," because it was followed by a list of drugs.
HS Half strength Misinterpreted as the Latin abbreviation "HS" (hour of sleep).
cc Cubic centimeters Mistaken as "U" (units) when poorly written.
AU, AS, AD Latin abbreviation for both ears; left ear; right ear Misinterpreted as the Latin abbreviation "OU" (both eyes); "OS" (left eye); "OD" (right eye)
IU International Unit Mistaken as IV (intravenous) or 10(ten)
MS, MSO4, MgSO4 Confused for one another Can mean morphine sulfate or magnesium sulfate

See the full Council Recommendation, Recommendations to Enhance Accuracy of Prescription Writing.

NAN Alert

The National Alert Network (NAN) publishes the alerts from the National Medication Errors Reporting Program. NAN encourages the sharing and reporting of medication errors, so that lessons learned can be used to increase the safety of the medication use system. Jul 10, 2024Manufacturer’s dexmedeTOMIDine premixed IV bags may be packaged within an overwrap labeled as acetaminophen
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