{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Skip Navigation
www.ahrq.gov
search
home
whatsnew
collection
primers
glossary
newsletter
mypsnet
newsletter
The Collection
>
It's All in the Syringe
Weingart SN. AHRQ WebM&M [serial online]. August 2006.
In the office, a man with diabetes has high blood sugar, and the nurse practitioner orders insulin. After administration, she discovers that she has injected the insulin with a tuberculin syringe rather than an insulin syringe, resulting in a 10-fold overdose.
Free full text
Related Resources
COMMENTARY
Citrate Mix-Up
Weber RJ. AHRQ WebM&M [serial online]. May 2006.
COMMENTARY
Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
COMMENTARY
Crossed Coverage
Kayser SR. AHRQ WebM&M [serial online]. February 2007.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:725-728.
View all related resources...
Download:
Adobe Reader
Email
Find Related Resources by...
Resource Type
Commentary
Setting of Care
Ambulatory Clinic or Office
Target Audience
Physicians
Nurses
Pharmacists
Facility and Group Administrators
Risk Managers
Organizational Behaviorists
Clinical Area
Primary Care
Safety Target
Dispensing Errors
Administration Errors
Insulin
Error Types
Latent Errors
Approach to Improving Safety
Practice Guidelines
Root Cause Analysis
Read Back Protocols
Provider-Patient Communication