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Novel Drug Misuse.
Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.
Following a motor vehicle collision, a patient is mistakenly given drotrecogin alfa (activated) for organ failure not due to sepsis.
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Resource Type
Commentary
Setting of Care
Intensive Care Units
Target Audience
Physicians
Nurses
Pharmacists
Clinical Area
Critical Care
Safety Target
Medication Errors/Preventable Adverse Drug Events
Medical Complications
Error Types
Cognitive Errors ("Mistakes")
Approach to Improving Safety
Practice Guidelines
Checklists
Specialized Teams
Education and Training
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)