While hospitalized, an 82-year-old woman was supposed to receive her chronic drug, Eltroxin, (levothyroxine) for treatment of hypothyroidism. Instead, she was mistakenly prescribed the chemotherapy drug, Eloxatin (oxaliplatin). MedAware alerted the care team of the mistake, and the order was canceled.

If treated with Eloxatin, the patient could have suffered from untreated hypothyroidism, as well as the chemotherapy’s side effects.