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Possible consequences of the workarounds include wrong administration of medications, wrong doses, wrong times, and wrong formulations.
The sole cause of the accident described in this case is certainly the wrong administration of Ultiva™ solution into the epidural space.
Three out of four permanent harms were due to wrong administration of drugs.
Similar(57)
Event date, birth date of patient, gender, practice, event category (prescribing error (wrong prescription, wrong administration; wrong dose; other), adverse reaction (adverse reaction; allergic reaction; overdose; interaction; contra-indication; other), dispensing error (too late; wrong medicine; wrong dose; other)), and additional remarks or context were recorded.
Wrong dose errors, wrong dosage-form errors, wrong drug-preparation errors, and wrong administration technique errors were rare (n = 8 for each type, 1.9%).
21 reports of wrong route administration of medication.
69 Unintentional therapeutic errors were defined as any insulin provided in a manner that is an unintentional deviation from a proper therapeutic regimen and results in an incorrect route of administration, wrong dose, administration to the wrong person, or administration of the wrong substance.
Examples include acquisition of a hospital-acquired infection, receiving the wrong medication (or the wrong route of administration of medication), or falls whilst under the hospital's care.
Potential MAEs were placed in broad thematic categories related to: incorrect timing; attempts to give medication to the wrong person; and administration of medication that had been discontinued.
"There must be something wrong with the administration of a system which has that effect on so many people's lives".
Alexander Goldstein Brooklyn, Oct. 17, 2004 To the Editor: Thank you for synthesizing all that has gone wrong under the administration of George W. Bush.
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