Michael R. Cohen ScD, MS, RPH

April 2010 
Volume 40  Number 4
Pages 20 - 20
  PDF Version Available!

After the nurse had completed a medication reconciliation form for a patient admitted to the hospital, the healthcare provider indicated that the patient should continue taking quinine sulfate (Qualaquin), 324 mg, as listed, for leg cramps. Qualaquin, the only approved quinine product in the U.S. market, is provided as a 324 mg capsule.The pharmacist who processed the order misread the drug name and selected a 324 mg tablet from a list of products on the computer screen. As a result, instead of quinine, the patient's medication administration record reflected quinidine 324 mg extended release daily. Quinidine is an antiarrhythmic drug that's no longer used as frequently as newer and safer antiarrhythmics.The wrong-drug error continued for almost 2 weeks, until a consulting physician wondered why the patient was on such a low dose of quinidine. The medication was stopped; the patient hadn't complained of leg cramps.The hospital's computer system contributed to the error

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!

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:


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

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

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