This alert addresses the potential medication errors that can occur when reliance on an electronic medication management system (order entry system) to calculate the correct volume (and dose) for a ...
This alert describes two fatal medication incidents where concentrated (undiluted) potassium chloride (KCl) was injected instead of adding the KCl to an infusion solution or using a pre-mixed KCl ...
This alert discusses the medication incidents that can occur when methotrexate is given daily instead of the intended weekly regimen. Three cases are referenced, one of which was fatal. ...