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Potential tenfold drug overdoses on a neonatal unit

Pharmacy Department, QMC University Hospital, Nottingham NG7 2UH, UK

Correspondence to:
Correspondence to:
Mrs K Chappell
Pharmacy Department, QMC University Hospital, Derby Road, Nottingham NG7 2UH; karen.chappell{at}mail.qmcuh-tr.trent.nhs.uk

ABSTRACT
Nearly one third of intravenous drug prescriptions on a neonatal unit were for doses less than one tenth of a single drug vial. Tenfold drug errors in prescribing are well documented and with the continued use of vials containing adult size doses, great potential exists for serious administration errors.

Keywords: medication error; drug; overdose

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