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To try to find a solution to the problem of drug misadministration, we examined the preventive measures against it by making the shapes of drugs discriminative. And we suggest drugs should be checked out thoroughly by pharmacists and the shapes of them should be varied : giving drugs discrimination codes, varying the forms of colored tablets, film coated tablets, and capsules, preventing the letters on the surfaces of ampules from being wiped away, specifying expiring date of each ampule and giving ampules and vials multiformity need to be carried out. In addition to that, drug product information reference which contains shape, diameter, thickness and weight of each tablet should be made. We think more active studies regards to this matter should be proceeded.
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