This week’s free ISMP featured article describes a fatal error where digoxin was inadvertently withdrawn from an ADC instead of BUPivacaine and administered intrathecally. Safe practice recommendations are provided: https://www.ismp.org/node/94385/
Medication Safety Officers Society 3604 Members Strong A society of healthcare professionals dedicated to improving medication safety in healthcare organizations |
This week’s free ISMP featured article describes a fatal error where digoxin was inadvertently withdrawn from an ADC instead of BUPivacaine and administered intrathecally. Safe practice recommendations are provided: https://www.ismp.org/node/94385/