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PSNet: Patient Safety Network
Newspaper/Magazine Article

Drug error at Eskenazi Hospital killed prominent cancer researcher. Here's how it happened.

Evans T. Indianapolis Star. October 30, 2020.

Fentanyl is a high-alert medication that can be fatal if administered inappropriately. This news story illustrates how a cascade of actions including infusion pump misuse, alarm fatigue, and unintentional blindness contributed to failure.