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Healthcare Facility Compliance 12 items

Look-Alike/Sound-Alike (LASA) Medication Safety Audit

Audit of controls that prevent errors from look-alike/sound-alike medication names, including tall man lettering, separation, and staff awareness.

TJC NPSG.03.01.01ISMP List of Confused Drug NamesISMP Tall Man Lettering

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LASA List Management

  • Does the facility maintain a current list of look-alike/sound-alike medications used at the organization? *
  • Is the LASA list reviewed and updated at least annually against the ISMP list of confused drug names? *
  • Are actions taken to prevent errors for the drugs on the facility list documented? *

Labeling & Storage Controls

  • Is tall man (mixed-case) lettering applied to LASA drug names on shelf labels, screens, and MARs? *
  • Are LASA medications physically separated or flagged with auxiliary warnings in storage? *
  • Are automated dispensing cabinet alerts configured for confirmed LASA pairs?

Ordering & Verification

  • Are indications included on orders for LASA medications to aid verification?
  • Is order-entry configured to avoid dangerous abbreviations and auto-populate errors for LASA drugs? *
  • Are staff educated on high-risk LASA pairs relevant to their unit? *

Monitoring & Reporting

  • Are LASA-related errors and near misses reported and analyzed? *
  • Are new medications screened for LASA potential before formulary addition? *
  • Is LASA program effectiveness reviewed by the medication safety committee at least annually? *

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