Medication Error Case Articles
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Pediatric Medication Error Cases
CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal medication error stories ListBMJv.321(7270); 2000 Nov 11PMC1118964 BMJ. 2000 Nov 11; 321(7270): 1212–1216. PMCID: PMC1118964Medication errors
Medication Errors Cases Court
that have led to manslaughter chargesR E Ferner, directorWest Midlands Centre for Adverse Drug Reaction Reporting, City Hospital, Birmingham B18 7QHku.ca.mahb@renref.e.rAuthor information http://www.medscape.com/viewarticle/490499 ► Article notes ► Copyright and License information ►Accepted 2000 Jul 24.Copyright © 2000, BMJThis article has been cited by other articles in PMC.Doctors, like other professional people, are expected to exercise proper care in their work. If they neglect to do so and their https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1118964/ patients are harmed they can expect to be criticised. Over the past decade, this criticism has increasingly taken the form of civil action against the doctor by patients or their families who seek financial recompense. More rarely, a patient dies as a result of alleged negligence and the Crown Prosecution Service considers that a criminal charge of manslaughter is justified. Up to 1990 these cases were very rare. In 1970, Leahy Taylor wrote that it was “unlikely in the extreme” that any doctor would face a charge of criminal negligence.1 He was aware of only two cases, those of Dr Percy Bateman, who had been convicted of manslaughter after an obstetric patient died, but was later pardoned on appeal,2 and a Dr Wight, who had been sentenced to 3 months' impr
Me Forgot Password? Login or Sign up for a Free Account My Topics of Interest My CME My Profile Sign Out Home Topics Issues WebM&M Cases Perspectives Primers Submit Case CME / CEU Training Catalog Info https://psnet.ahrq.gov/webmm/case/299/right-regimen-wrong-cancer-patient-catches-medical-error Glossary About PSNet Help & FAQ Contact PSNet Email Updates Editorial Team Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy Policy External Link Disclaimer Cases & Commentaries Published May 2013 Right Regimen, Wrong Cancer: Patient Catches Medical Error Spotlight Case Commentary by Joseph O. Jacobson, MD, MSc, and Saul N. Weingart, MD, PhD Sections Case Objectives Case & Commentary: Part 1 Case & medication error Commentray: Part 2 References Table Figure Topics Resource Type Cases & Commentaries Approach to Improving Safety Error Analysis Safety Target Ordering/Prescribing Errors Chemotherapeutic Agents Setting of Care Hospitals Clinical Area Medical Oncology Target Audience Health Care Providers Quality and Safety Professionals Error Types Epidemiology of Errors and Adverse Events Near Miss More PPT PowerPoint Presentation (766 K) Download free PowerPoint viewer Share Facebook Twitter Linkedin Email medication error case Print Case Objectives Appreciate that chemotherapy administration is hazardous and challenging. Describe the most common types of errors associated with chemotherapy administration. State why errors may be common when chemotherapy is administered in the inpatient setting. Describe the importance of understanding the process of chemotherapy administration and the importance of standardizing the process. Case & Commentary—Part 1 A 48-year-old man with a history of metastatic penile cancer was admitted to an inpatient internal medicine service for his fourth round of chemotherapy. He had three previous uncomplicated admissions where he received a standard protocol of 3 days of paclitaxel, ifosfamide, and cisplatin. The patient received this regimen for 3 days with minimal adverse effects. On hospital day 4, based on his previous admissions for chemotherapy, the patient was expecting to go home. In the morning his bedside nurse for the day came in and stated that she would be giving him his fourth day of chemotherapy. The patient was surprised by this and, before the chemotherapy was administered, asked to speak with the oncology team who was directing his care. After speaking with the patient, the oncology fellow examined the orders in more detail and reali