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The nurses were locked out at Sutter hospitals after the strike, and one patient died when a replacement nurse administered an incorrect dosage of medicine.
Some of those deaths involved patients who suffered drug overdoses accidentally, either because a hospital worker entered incorrect dosage data into a pump or because the device's software malfunctioned.
The greatest number of errors are related to speed of administration (40.1%), a pass-dose, incorrect dosage and delayed use of the drug were, respectively, 14.4%,11.7% and 13.9% [1].
In our study, the alternative to quinine in a few patients was artemether, which was always administered at an incorrect dosage, possibly because the heath providers had little experience with this product.
3. Dosage interval (incorrect dosage interval, dosage interval omitted).
Additionally, antibiotic drug prescription was considered inappropriate in case of incorrect duration, incorrect dosage, incorrect dosage interval, and/or incorrect route of administration (Table 1).
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Medication errors alone, such as incorrect dosages, accounted for 7,000 deaths.
Among the remedies they advocate are greater use of computers, which can detect dangerous drug interactions and incorrect dosages, enrollment of health professionals in "teamwork training" and more open disclosure of mistakes.
The most frequent errors were mistakes in labeling of syringes, incorrect dosages and medications that should have been given but were not.
The most common problems involved expensive drugs (70%), impractical directions (55.2%), and incorrect dosages (50.9%).
The dosage of TNF-blocking agents is of importance, since our findings indicate that incorrect dosages may result in insufficient cartilage repair or in adverse effects.
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