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How to Prevent It Strengthen diagnostic accuracy every prescription begins with the right diagnosis Use e-prescribing with Clinical Decision Support (CDS) flag mismatched drugs Clinical Pharmacologist and Pharmacist involvement NABH encourages multi-disciplinary medication review Apply tools Beers & STOPP/START criteria in geriatrics Adhere to CDSCO pharmacovigilance report ADRs and near-misses Continuous education & CME update on national and WHO treatment guidelines The Bigger Picture Incorrect drug selection isnt just a clinicians error it reflects systemic gaps in diagnostic reasoning and medication governance

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