7/1/2021 12:00:00 AM
This alert describes four incidents of medication errors involving high-alert medications. Two cases involved administration of subcutaneous morphine and IV midazolam, respectively, at the wrong infusion rate using a syringe pump. In another case IV morphine was administered at the wrong rate using a smart infusion pump. The last case described a high serum potassium level after administration of potassium chloride infusion; no cause was cited. Guidelines when administering high-alert drugs are provided.
syringe pump, smart infusion pump
potassium chloride IV,
morphine - subcutaneous, IV,
moderate sedation agents, IV ,
narcotics/opiates, IV, transdermal, and oral
Medication Error - High alert medication infusion