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Arch Dis Child Fetal Neonatal Ed 89:F483-F484 doi:10.1136/adc.2003.041608
  • Medication errors

Potential tenfold drug overdoses on a neonatal unit

  1. K Chappell,
  2. C Newman
  1. Pharmacy Department, QMC University Hospital, Nottingham NG7 2UH, UK
  1. Correspondence to:
    Mrs K Chappell
    Pharmacy Department, QMC University Hospital, Derby Road, Nottingham NG7 2UH; karen.chappellmail.qmcuh-tr.trent.nhs.uk
  • Accepted 24 November 2003

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.

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