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Don't Push.
Meltzer HY. AHRQ WebM&M [serial online]. November 2003.
Inappropriate use of intravenous haloperidol to manage psychosis in an AIDS patient causes polymorphic ventricular tachycardia (“torsade de pointes”), necessitating a transvenous pacemaker.
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Resource Type
Commentary
Setting of Care
Emergency Departments
Target Audience
Health Care Providers
Clinical Area
Emergency Medicine
Cardiology
General Internal Medicine
Hospital Medicine
Mental Health Care (Psychiatry & Clinical Psychology)
Safety Target
Medication Errors/Preventable Adverse Drug Events
Error Types
Cognitive Errors ("Mistakes")
Approach to Improving Safety
Practice Guidelines
Patient Education
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)