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Cases & Commentaries
- Web M&M
Chris Vincent, PhD; December 2016
Admitted to the hospital for treatment of a hip fracture, an elderly woman with end-stage dementia was placed on the hospice service for comfort care. The physician ordered a morphine drip for better pain control. The nurse placed the normal saline, but not the morphine drip, on a pump. Due to the mistaken setup, the morphine flowed into the patient at uncontrolled rate.
Journal Article > Study
Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study.
Heneka N, Bhattarai P, Shaw T, Rowett D, Lapkin S, Phillips JL. Palliat Med. 2019;33:430-444.
This focus group study of Australian palliative care providers examined risk factors for opioid errors among palliative patients. They identified clinician inexperience, the drug preparation environment, and poor communication as contributory factors for medication errors. The authors conclude that multiple interventions will be needed to enhance opioid safety in palliative care.