Skip to main content
Commentary

Nurses' perspective on a serious adverse drug event.

Golz B, Fitchett L. Nurses' perspective on a serious adverse drug event. Am J Health Syst Pharm. 1999;56(9):904-7.

Save
Print
March 6, 2005
Golz B, Fitchett L. Am J Health Syst Pharm. 1999;56(9):904-7.
View more articles from the same authors.

This compelling case history details the accounts of a fatal medication error. Golz and Fitchett, two of the nurses involved in the actual case, present the sequence of events, the factors leading to the inappropriate administration of a medication, and the legal and emotional consequences that resulted. Although discussion of accountability occurs, the authors share the important lessons learned when a series of systems errors, including communication lapses and poor double-checks, contribute to an unfortunate patient outcome.

Save
Print
Cite
Citation

Golz B, Fitchett L. Nurses' perspective on a serious adverse drug event. Am J Health Syst Pharm. 1999;56(9):904-7.

Related Resources From the Same Author(s)
Related Resources