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Depending on the drug, this could have been a thousandfold dosing error.
In nine trials, 84.4percentt of the parents made at least one dosing error, and more than 68percentt of the errors were overdoses.
But side effects were severe and in one study a patient died because of a dosing error.
NO concentrations in these systems are generally monitored through electrochemical methods that are too slow to capture this nuance and potential dosing error.
Thereafter, the nurse was interviewed and a dosing error was identified: she had mistakenly given the patient 1 mg of phenylephrine (1 mL) instead of 100 mcg (1 mL of the standard dilution, 1 mg in 10 mL).
No drug or dosing error was observed.
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A computer-based prescription system was implemented containing all dosing schedules to reduce dosing errors as well as mistakes in reading and writing.
Dosing errors by caregivers are common and often are directly attributed to poorly designed instructions.
Use of nonstandardized dosing instruments and lack of knowledge that dosing is weight-based contribute to dosing errors.
These systems are meant to improve drug storage security, reduce dosing errors, and improve charge capture, among other features.
If medication reconciliation is not accurate and systematic, medication errors such as omissions, duplications, dosing errors, or drug interactions may occur and cause harm.
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