Canadian TALLman Lettering List Principles for the Application of TALLman Lettering (Revised March 2016) TALLman Lettering Bulletin TALLman Lettering … To do so would give short shrift to other important criteria including human factors principles and anecdotal evidence that tall man letters help to prevent drug name mix-ups. studied the effects of proximity of similar drug names, use of tall man letters, and time pressure on accurate visual searches during medication selection from a computer screen.In 2014, Or and Chan studied the effects of various text enhancement methods (tall man letters, bolding, larger lowercase letters, lowercase red lettering) on the task of determining if two drug names were the same or different.Earlier this year, DeHenau et al. A network of health care providers. Table 1 provides an alphabetized list of FDA-approved established drug names with recommended tall man letters.. Table 2 provides an alphabetized list of additional drug names with recommendations from ISMP regarding the use and placement of tall man letters.This is not an official list approved by FDA. Tall man lettering (tall-man lettering or tallman lettering) is the practice of writing part of a drug's name in upper case letters to help distinguish sound-alike, look-alike drugs from one another in order to avoid medication errors.
It is intended for voluntary use by healthcare … Specifically, our recommendation is to employ the use of bolded tall man letters as listed in the FDA and ISMP lists for selected drug names in use in your practice setting. Developing a national Tall Man lettering standard The project to develop national Tall Man lettering proceeded in five stages during 2010 and 2011. We reviewed each suggestion carefully while considering all risk factors and the need to keep the list short enough to avoid diluting the effectiveness of tall man letters. Placing the stock with the earliest expiration date at the front of the product supply is good: Stock rotation. Also known as the Look-alike and sound-alike (LASA) list. ... Below are two lists with recommendations for the use of tallman lettering. The presence of the tall man letters made staff aware of the possibility of an error, causing them to take steps not otherwise taken, such as reading through an entire pick list or verifying the drug a second time, to ensure they have the correct drug.
Enter the terms you wish to search for. 4. As one respondent commented, “I train myself to search for tall man letters when verifying medications, and have prevented errors by focusing on these different letters for drugs with similar names.” Another respondent noted, “When I see the tall man lettering, it alerts me that a look- or sound-alike drug is being dispensed, so I make a point of verifying the indication of the drug to be sure I have selected the correct one.” Also, several managers indicated seeing reports of close calls in which tall man letters had helped to prevent or detect medication errors. Enter the terms you wish to search for. Wall Chart - Oral Dosage Forms that Should Not be Crushed: $24.95 TALLman lettering is a method of applying upper-case lettering to sections of LASA drug names as a differentiation strategy. We are also asking information technology and drug information vendors to improve capabilities in this regard.We agree that additional research is needed regarding the impact of tall man letters in actual clinical settings and the factors that have the potential to influence their efficacy. We are the first non-profit organization dedicated to the promotion of safe medication practices. We must make informed decisions based on the best available information and common sense.©2020 Institute for Safe Medication Practices. Overuse of tall man letters may reduce effectiveness, as names no longer appear novel.Numerous studies suggest that tall man letters used alone or with other text enhancements can reduce errors due to drug name similarity.The first study to demonstrate that tall man letters reduced drug selection errors in a simulated pharmacy-dispensing environment was published by Grasha in 2000.In 2006, Filik et al. published a study of the impact of tall man lettering when displaying labels with look-alike drug names.A recently published time series analysis by Zhong et al. All rights reserved. Respondents referred to the tall man letters as a “visual alert system” and a “subconscious cue” that help to “refocus the eye” and “slow down or stop the process” to ensure they have the correct drug. FDA. Among these respondents, two suggested that tall man lettering has become antiquated given current technologies, particularly barcode scanning.In the survey, we listed 16 potential new drug name pairs or trios, or single drug names that may be confused with another drug name pair already on the list. Tall man lettering is one such technique. Of these, at least half or more of the respondents felt that 13 of these should be added to the ISMP list of drug names with tall man letters (Many respondents shared their thoughts regarding other drug name pairs that were not included in the survey.