VECuronium/VERsed Med Error

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Tue, 12/04/2018 - 15:35
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Philip Carpiniello
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Joined: 11/03/2017 - 12:44
VECuronium/VERsed Med Error

Hello all,

In light of news of the fatal medication event from Vanderbilt University Medical Center, I was wondering if any of you can share some error-reduction strategies you have in place at your institutions to prevent similar mix-ups. I have several to share but would like to hear from the group.

1) Addition of a Pyxis alert indicating High-Alert status of VECuronium
2) Possible elimination of VECuronium from formulary
3) Implementation of BMCA in procedural areas
4) Updating High-Alert policy to include language on x1 doses of NMBs
5) More real-time review of Pyxis override reports

If you have any suggestions, or have tried some of these strategies and ran into issues, I would love to hear it!

Thanks,
Phil

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