November 2003, Volume 33 Number 11 , p 10 - 12
© 2003 Lippincott Williams & Wilkins, Inc. Volume 33(11) November 2003 p 1012 Upgrade office practices [MEDICATION ERRORS: OUTPATIENT CHEMOTHERAPY]
COHEN, MICHAEL R. RPH, DSC, FASHP
Michael R. Cohen is president of the Institute for Safe Medication Practices (ISMP), a nonprofiit organization that derives its reports from the USP-ISMP Medication Errors Reporting Program. To report medication errors, call the USP at 1-800-23-ERROR (233-7767). You can reach the ISMP at 215-947-7797 or via e-mail at email@example.com.
A patient was supposed to receive the antineoplastic agent vinorelbine (Navelbine) during a visit to the oncologist's office. The nurse prepared what she thought was a 50 mg dose (from five 10 mg vials) and administered the medication I.V. Three days later, when the patient reported feeling ill, a medication inventory check showed that the ...