Open AccessNeonatal Heparin Overdose—A Multidisciplinary Team Approach to Medication Error Prevention
Author(s) -
Jason Arimura,
Rob Poole,
Michael Jeng,
Wendell E. Rhine,
Paul J. Sharek
Publication year - 2008
Publication title -
the journal of pediatric pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.456
H-Index - 15
eISSN - 2331-348X
pISSN - 1551-6776
DOI - 10.5863/1551-6776-13.2.96
Subject(s) - heparin , medication error , intensive care medicine , medicine , multidisciplinary approach , multidisciplinary team , medical emergency , patient safety , health care , nursing , surgery , social science , sociology , economics , economic growth
Despite the efforts of many hospitals, system failures can result in medication errors that may be life threatening. During 2006 and 2007, nine neonates received potentially fatal doses of heparin. This paper will review contributing factors to the heparin medication errors and ways to minimize the risk of heparin overdose.