Please move this if it's in the wrong place.
I did a search but didn't find what I was looking for. There was a case in CO with a NICU baby receiving the wrong dose of PenG (I think) which resulted in one of the first cases of nurses being prosecuted criminally. Nursing ____ (year) magazine did an amazing, in depth analysis of the med error. Does anyone remember either the year of the article or know where I can find it?