Epidural-IV route mix-ups: reducing the risk of deadly errors.
Approach to Improving Safety
- Credentialing, Licensure, and Discipline
- Structured Hand-offs
- Medical Device Design
- Bar Coding and Radiofrequency ID Tagging
- Education and Training
Setting of Care
This article reports on the potentially fatal error of administering epidural medications intravenously and provides guidelines to safeguard against such epidural–IV route mix-ups.