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Archives of Disease in Childhood - Fetal and Neonatal Edition 2004;89:F483-F484; doi:10.1136/adc.2003.041608
Copyright © 2004 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood Fetal and Neonatal Edition 2004;89:F483-F484
© 2004 Archives of Disease in Childhood Fetal and Neonatal Edition

SHORT REPORT

Potential tenfold drug overdoses on a neonatal unit

K Chappell, C Newman

Pharmacy Department, QMC University Hospital, Nottingham NG7 2UH, UK

Correspondence to:
Correspondence to:
Mrs K Chappell
Pharmacy Department, QMC University Hospital, Derby Road, Nottingham NG7 2UH; karen.chappell{at}mail.qmcuh-tr.trent.nhs.uk

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.

Keywords: medication error; drug; overdose


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Inadvertent overdosing of neonates due to dead space of syringe hub and needle
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Fetal Neonatal Ed. Online, 29 Nov 2004 [Full text]

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