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Newspaper/Magazine Article

Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose.

ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9).

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May 20, 2020

ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9).

Lack of familiarity with smart pumps can lead to user error and patient harm. The article describes conditions that lead to a programing mistake. It suggests enhanced “hands on” education, improved medication labeling, required engagement with drug libraries when programing pumps and assessed equipment competency as actions to mitigate similar incident occurrence.  

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ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9).

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