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Newspaper/Magazine Article

Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.

ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.

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January 14, 2015

ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.

This newsletter article discusses an adverse drug event involving a patient who died after receiving a neuromuscular blocker instead of a seizure control agent. The preparation error was associated with incorrect labeling. Because neuromuscular blocking agents are considered high-alert medications, more robust administration processes should be employed to reduce the potential for mix-ups.

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ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.

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