ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations

The abbreviations, symbols, and dose designations found in this table
have been reported to ISMP through the USP-ISMP Medication
Errors Reporting Program as being frequently misinterpreted and
involved in harmful medication errors. They should NEVER be used
when communicating medical information. This includes internal
communications, telephone/verbal prescriptions, computer-generated
labels, labels for drug storage bins, medication administration records,
as well as pharmacy and prescriber computer order entry screens.
The Joint Commission on Accreditation of Healthcare Organizations
(JCAHO) has established a National Patient Safety Goal that specifies
that certain abbreviations must appear on an accredited organization's
do-not-use list; we have highlighted these items with a double asterisk
(**). However, we hope that you will consider others beyond the
minimum JCAHO requirements. By using and promoting safe
practices and by educating one another about hazards, we can better
protect our patients.
© ISMP 2005

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