Newspaper/Magazine Article

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

November 11, 2020

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.

Free full text

Related Resources From the Same Author(s)

When doctors get it wrong: misdiagnoses are getting a closer look.

September 9, 2015

Minnesota hospitals are testing ways to reduce return trips.

October 24, 2012

Coming clean on medical mistakes.

April 4, 2007

Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence.

October 30, 2023

Healthcare wants to fly as high as the aviation industry. Can it?

November 8, 2023

Doctors wrestle with A.I. in patient care, citing lax oversight.

November 8, 2023

How one hospital improved patient safety in 10 minutes a day.

November 14, 2018

Clinical ICT Systems in the Victorian Public Health Sector.

November 20, 2013

This man wants to heal health care.

November 2, 2005

Daily check-in for safety: from best practice to common practice.

June 27, 2018

Related Resources

Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt.

April 12, 2023

Embedded bias: how medical records sow discrimination.

October 5, 2022

When medical error becomes personal, activism becomes painful.

September 28, 2022

Dying for Care.

March 30, 2022

A widow’s mission to change NC dental sedation rules.

March 23, 2022

Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction.

December 1, 2021

The pain was unbearable. So why did doctors turn her away?

August 25, 2021

A tragic death shows how ERs fail patients who struggle with addiction.

July 28, 2021

Addiction treatment providers in Pa. face little state scrutiny despite harm to clients.

May 12, 2021

People with disabilities fear pandemic will worsen medical biases.

April 29, 2020

See More About The Topic

Administration Errors

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users