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Source:

Nursing2015

September 2007, Volume 37 Number 9 , p 10 - 10

Author

  • Michael R. Cohen RPH, MS, ScD

Abstract


Cohen, Michael R. RPH, MS, ScD

President of the Institute for Safe Medication Practices The reports described in Medication Errors were received through the USP-ISMP Medication Errors Reporting Program. Report errors, close calls, or hazardous conditions to the Institute for Safe Medication Practices (ISMP) at http://www.ismp.org or the United States Pharmacopeia (USP) at http://www.usp.org . You can also call ISMP at 1-800-FAIL SAFE or send an e-mail message to ismpinfo@ismp.org. Michael R. Cohen is a member of the Nursing2007 editorial advisory board.

At least five staff members overlooked a prescribing error, and safeguards such as warning labels and double checks didn't prevent the error from reaching the patient.

1. A medical resident using computerized prescriber order entry (CPOE) at a remote site intended to prescribe an infusion of the neuromuscular blocking agent (NBA) vecuronium (Norcuron) for a patient on mechanical ventilation ...

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