An 88-year-old patient was supposed to receive her chronic antipsychotic drug, Modal (sulpiride). Instead, she was prescribed the similarly named chemotherapy drug, Temodal (temozolomide). MedAware alerted the staff that the medication was suspicious for the patient’s condition and after review, the order was canceled.

If given the wrong drug, the patient could have suffered from chemotherapy’s side effects, such as hair loss and bone marrow suppression.