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Arch Dis Child Fetal Neonatal Ed 2004;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.

Footnotes

    Responses to this article

    • Inadvertent overdosing of neonates due to dead space of syringe hub and needle
      • Vikas Bhambhani,
      • Beri R S and Puliyel J M
      Arch Dis Child - Fetal Neonatal Ed published online November 29, 2004

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