MEDICATION ERRORS: “Morph”ing into trouble
MICHAEL R. COHEN RPH, MS, ScD, President of the Institute for

$3.95
Nursing2014
November 2004 
Volume 34  Number 11
Pages 20 - 22
 
  PDF Version Available!

ABSTRACT
© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(11)             November 2004             p 20–22 “Morph”ing into trouble [MEDICATION ERRORS: OPIOID SWAP]

COHEN, MICHAEL R. RPH, MS, ScD, President of the Institute for Safe Medication Practices

An ED physician ordered morphine, 10 mg I.M., for a 69-year-old patient with a chest injury who was being discharged. The narcotics drawer contained both hydromorphone and morphine in 1 ml, 10 mg/ml ampules, and the patient mistakenly received 10 mg of hydromorphone I.M., a dose equivalent to 60 to 70 mg of morphine. Shortly after he left, a nurse discovered the error during a scheduled opioid count. When the hospital staff finally located the patient, he was in another hospital ED near his home because his condition had deteriorated. He soon had a cardiac arrest and died.

Mix-ups between morphine and hydromorphone are among ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Abdominal Pain: An Approach to a Challenging Diagnosis
AACN Advanced Critical Care, July/September 2014
Free access will expire on October 13, 2014.


HIPAA Compliance Practice Tips
Professional Case Management, July/August 2014
Free access will expire on September 29, 2014.


Follow the leader: How does “followership” influence nurse burnout?
Nursing Management, August 2014
Free access will expire on September 29, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events