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Potential tenfold drug overdoses on a neonatal unit
  1. K Chappell,
  2. C Newman
  1. Pharmacy Department, QMC University Hospital, Nottingham NG7 2UH, UK
  1. Correspondence to:
    Mrs K Chappell
    Pharmacy Department, QMC University Hospital, Derby Road, Nottingham NG7 2UH;


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.

  • medication error
  • drug
  • overdose

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