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Cohen MR. The role of drug packaging and labelling in medication errors. In: Cohen MR Ed. ; Medication errors. Washington DC ; : American Pharmaceutical Association 1999; 13.1- 13.22. Quality Review of Documents QRD : emea ropa htms human qrd qrdguide 2 Kohn LT, Corrigan JM, Donaldson MS. Ed. ; To err is human: Building a safer health system. Committee on Health Care in America. Institute of Medicine. Washington DC ; : National Academy Press; 1999. 3 Directive 2001 83 EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to medicinal products for human use. Official Journal L-311, 28 11 2001. Directive 2004 27 EC of the European Parliament and the Council of 31 March 2004 amending Directive 2001 83 EC on the Community code relating to medicinal products for human use. Official Journal L-136, 30 04 2004. European Medicines Agency. Committee for Human Medicinal Products. Guideline on the acceptability of invented names for human products processed through the centralised procedure. CPMP 328 98 Revision 4. April 2005. Available at: emea .int pdfs human regaffair 032898en 6 Medicines and Health Care products Regulatory Agency. Best practice guidance on labelling and packaging of medicines. MHRA Guidance Note No.25. London, 2003. Available at: : mca.gov 7 NHS National Patient Safety Agency and the Helen Hamlym Research Centre. Information design for patient safety. Design guidance for packaging prescription medicines: secondary packaging all types ; and primary packaging blister packs only ; . London 2005; 115 pages. 8 Institute for Safe Medication Practices. : ismp 9 Australia New Zealand Therapeutic Products Authority. General Requirements for the Labelling of Medicines for application by the Australia New Zealand Therapeutic Products. Draft May 2006. Available at: : anztpa label dr-labelorder #pdf 10 FIP Guidelines for the Labels of Prescribed Medicines. 2001. Available at: : fip pdf labelling-English 11 Health Canada. Drug Name Review: Look-alike Sound-alike LA SA ; Health Product Names . Revision 2005 08 03. Available at: : hc-sc.gc dhp-mps brgtherap activit consultation alikesemblable lasa premkt-noms semblables precomm e, because lanoxin 125.

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Acknowledgments: The authors thank Dr. A. Yoshimura Welfide Corporation, Osaka, Japan ; for the kind gift of Y-27632. These studies were supported by an Investigator Career Award from the Canadian Institutes of Health Research, as well as operating support kindly provided by the Canadian Institutes of Health Research, the Ontario Thoracic Society of Canada, and AstraZeneca.
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