Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

Andrew B Thyen; Russell K McAllister; Lisa M Councilman

Commentary

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

December 8, 2010

Thyen AB, McAllister RK, Councilman LM. J Patient Saf. 2010;6(4):244-246.

View more articles from the same authors.

This case report discusses how an error with no lasting patient harm served as a catalyst for organizational efforts on process improvement, protocol review, and safeguard enhancement to ensure safe delivery of epidural analgesia.

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Anesthesiology

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