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Source:

Nursing2015

June 2006, Volume 36 Number 6 , p 15 - 15

Author

  • Michael R. Cohen RPH, MS, ScD

Abstract

Sorted by brand name, the antiarrhythmic Brevibloc (esmolol) and the anesthetic Brevital (methohexital) wound up next to each other on an automated dispensing cabinet screen in a hospital procedural area. A nurse accidentally removed Brevibloc instead of Brevital and eventually placed the wrong medication at the patient's bedside. Fortunately, another nurse and the physician caught the error during the “time-out” period immediately before the procedure.

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