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Jean L. Holley, MD ; October 2010
A man with end-stage renal disease on hemodialysis was dialyzed with equipment that had been inappropriately reused, exposing the patient to another patient's blood numerous times.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.
This alert notifies health care providers of the potential for patient harm if a particular inhalation powder is reconstituted and incorrectly administered.
Journal Article > Study
Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients.
Commers T, Swindells S, Sayles H, Gross AE, Devetten M, Sandkovsky U. J Antimicrob Chemother. 2014;69:262-267.
Patients with human immunodeficiency virus (HIV) infection require increasingly complex drug regimens for treatment. This study found that more than one-third of patients with HIV who were admitted to the hospital experienced a medication error, most often omission of an antiretroviral medication. More than half of these errors were never corrected during the hospitalization.
ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.
This piece reports on examples of confusion between adult and pediatric immunizations and states that the similar abbreviations are a main cause of the problem.
New dosing recommendations to prevent potential Valcyte (valganciclovir) overdose in pediatric transplant patients.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 15, 2010.
This announcement describes revised dosing recommendations designed to prevent overdosing immunocompromised pediatric patients.
Journal Article > Study
Eginger KH, Yarborough LL, DeVito Inge L, Basile SA, Floresca D, Aaronson PM. Ann Pharmacother. 2013;47:953-960.
The majority of patients infected with human immunodeficiency virus (HIV) admitted to an academic hospital experienced at least one error in the prescribing of their antiretroviral or prophylactic medications. Pharmacists were able to detect and correct more than 90% of errors.