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Search results for "Dispensing Errors"
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
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.
Journal Article > Study
Garnerin P, Perneger T, Chopard P, et al. Anaesthesia. 2007;62:1090-1094.
Efforts toward standardization remain an important mechanism to address safety issues, such as with wristband use and drug labeling and package design. This study assessed the impact of different drug label information on injectable drug selection errors. Investigators provided three formats for conveying the concentration, quantity, and volume of a drug and evaluated the frequency of errors committed through a simulated exercise. They discovered significantly lower error rates with one of the formats in particular and call for regulatory bodies to implement standards on how such information should be displayed on injection drug labels.
Cases & Commentaries
- Web M&M
Eran Kozer, MD; June 2003
A boy given an overdose of nifedipine rather than its extended-release (XL) form suffers dangerous hypotension.