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

Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural Labor Analgesia With Ropivacaine. J Patient Saf. 2010;6(4):244-246. doi:10.1097/pts.0b013e3181fd3127.

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December 8, 2010
Thyen AB, McAllister RK, Councilman LM. J Patient Saf. 2010;6(4):244-246.

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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Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural Labor Analgesia With Ropivacaine. J Patient Saf. 2010;6(4):244-246. doi:10.1097/pts.0b013e3181fd3127.

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