Error kills 2 infants in Indiana - page 6

INDIANAPOLIS - Two premature infants died and a third was in critical condition after being given adult-size doses of medication, prompting hospital officials to review drug-handling procedures.Adult... Read More

  1. by   SmilingBluEyes
    Lord eye-opening indeed. And very easy to do, if not checking carefully. I am constantly reminded what we do has such an effect on so many. Just humbling.
  2. by   ClinInfCoord
    Quote from jolie
    barcoding and other systems are imortant steps in improving patient safety, but it is unwise to think that they can or will prevent all errors. if pharmacy inadvertently barcodes the wrong medicine, it will still be possible to administer the wrong drug to your patient.

    i would venture a guess that this hospital probably has a barcode system in place, as it is becoming the norm in most institutions.

    human error is always a possibility, regardless of the system in place.
    absolutely! i was not trying to imply that the barcoding or bmv system will prevent all errors. it is simply another safety measure, that when added to the 5 rights of med. administration, can prevent many of these errors. obviously, any time a human is involved in the process, there is always room for error...and let's face it...sometimes the computers can crash and burn too! reduction of med. administration errors is a proven fact in facilities that utilize such systems. perhaps they did have the barcoding in place. was it used correctly? i don't know the answer to that. obviously, somewhere along the line something went terribly wrong. my point is, anything we can do to help prevent errors is essential. we all make mistakes. how you learn from them is the key, and using any measure to help prevent future errors is very wise. the bottom line is, however, we still must use our brains and be the best healthcare providers we can be...with or without the aid of computers!
  3. by   daisey_may
    I completely agree with what someone said before me:

    No warning labels can replace the 5 rights!

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