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Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors.
Silver Spring, MD: US Food and Drug Administration; September 29, 2018.
Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011.
This announcement reveals a labeling change to reduce the potential for misadministration of a pain medication.
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.
This announcement reports on numerous errors in which an oral medication, nimodipine, was administered intravenously and describes how such errors occur.
Food and Drug Administration (FDA) Patient Safety News. Show #61. March 2007.
This video story alerts providers to a possible problem with an asthma inhaler, which could indicate remaining doses incorrectly if the user forcefully twists the cap.
In: On the State of the Public Health: Annual Report of the Chief Medical Officer 2004. London, England: Department of Health; 2005.
This chapter analyzes compliance with National Health Service patient safety alerts, as outlined in An Organization with a Memory, in four risk areas and makes recommendations for improving compliance.