Saving a Kidney
To prevent organ rejection, a kidney transplant patient was supposed to receive Thymoglobuline (antithymocyte globulin). Instead, she was prescribed a similarly named drug, Thyrogen (thyrotropin alfa), which is used to diagnose thyroid diseases. MedAware identified the error, and the medication was changed prior to administering.
If given, the patient would have been at risk of suffering a severe immune reaction to the transplant, including losing her donated kidney.