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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

Table 2

 Intravenous drugs administered at doses less than one hundredth of a vial

Drug No of doses administered equivalent to less than one hundredth of a vial % of doses of that drug
Diamorphine 14 12
Insulin 10 91
Potassium canrenoate 6 100
Midazolam 2 18

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