Medical Error Case Reports
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report Open Access Open Peer Review This article has Open Peer Review reports available. How does Open Peer Review work? A child presenting with acute renal failure secondary to a high dose of indomethacin:
Nursing Medication Error Case Study
a case reportFelipeGonzález1, JesúsLópez-Herce1Email author and CintaMoraleda1Journal of Medical Case Reports20093:47DOI: 10.1186/1752-1947-3-47© González medication error case scenarios et al; licensee BioMed Central Ltd.2009Received: 31January2008Accepted: 03February2009Published: 03February2009 Open Peer Review reports Abstract Introduction Acute renal failure caused by real life case study involving medication error nonsteroidal anti-inflammatory drugs administered at therapeutic doses is generally mild, non-anuric and transitory. There are no publications on indomethacin toxicity secondary to high doses in children. The aim of this article is to describe
Medication Error Scenarios
acute renal failure secondary to a high dose of indomethacin in a child and to review an error in a supervised drug prescription and administration system. Case presentation Due to a medication error, a 20-day-old infant in the postoperative period of surgery for Fallot's tetralogy received a dose of 10 mg/kg of indomethacin, 50 to 100 times higher than the therapeutic dose. The child presented with acute, oligo-anuric
Cases Of Medication Errors By Nurses
renal failure requiring treatment with continuous venovenous renal replacement therapy, achieving complete recovery of renal function with no sequelae. Conclusion In order to reduce medication errors in critically ill children, it is necessary to develop a supervised drug prescription and administration system, with controls at various levels. IntroductionDrug toxicity causes 2% to 5% of hospital admissions [1, 2]. In addition, between 7% and 10% of hospitalized patients suffer adverse drug reactions [2]. These reactions may be related to the drug (toxic potential, dose, duration, route of administration and interactions with other drugs) or to the patient (age, sex, metabolic abnormalities or associated pathology that could alter drug metabolism and/or excretion). For these reasons, adverse drug reactions are more common in critically ill patients [3].Many drugs cause renal toxicity. The lesion most commonly develops in the tubules and interstitium but can also affect the glomerulus or intrarenal blood vessels [4]. The risk of drug-induced renal toxicity is higher in children as the glomerular filtration rate is lower and the kidneys have an immature enzyme system. The accidental, voluntary or iatrogenic administration of drug overdoses is a relatively common cause of acute renal failure (ARF) [5]. In children, although the most common c
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Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3153723/ Help Journal ListIndian J Pharmacolv.43(4); Jul-Aug 2011PMC3153723 Indian J Pharmacol. http://www.cnn.com/2012/11/05/health/medical-mistakes-nov/ 2011 Jul-Aug; 43(4): 482–483. doi: 10.4103/0253-7613.83127PMCID: PMC3153723A case of look-alike medication errorsHetal D. Shah and Megha Shah1Consultant Cardiac Anaesthetist, Sterling Hospital, Vadodara, Gujarat, India1Department of Pharmacology, Medical College, Vadodara, Gujarat, IndiaCorrespondence to: Dr. Megha Shah, E-mail: moc.oohay@08_hahskmAuthor information ► Copyright medication error and License information ►Copyright © Indian Journal of PharmacologyThis is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.This article has been cited by other articles in PMC.Sir,The of medication error National Coordinating Council for Medication Errors Reporting and Prevention (NCC MERP) was formed by the US Food and Drug Administration (FDA) to actively promote the reporting, understanding, and prevention of medication errors through the coordinated efforts of its member associations and agencies and to focus on ways to enhance the patient safety. It defines medication error as “any preventable event that may cause or lead to inappropriate medication use or patient harm, while the medication is in the control of the health-care professional, patient, or consumer”.[1] Such events may be related to professional practice, health-care products, procedures, and systems, including prescribing, order communication, product labelling, packaging and nomenclature, compounding, dispensing, distribution, administration, and education use.In a study by the FDA that evaluated reports of fatal medication errors from 1993 to 1998, the most common error involving medications was related to the improper dose, accounting for 41% of fatal medication erro