Arimura Jason, Poole Robert L, Jeng Michael, Rhine William, Sharek Paul
Pharmacy Department, Lucile Packard Children's Hospital at Stanford.
J Pediatr Pharmacol Ther. 2008 Apr;13(2):96-8. doi: 10.5863/1551-6776-13.2.96.
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.
尽管许多医院都做出了努力,但系统故障仍可能导致危及生命的用药错误。在2006年至2007年期间,有9名新生儿接受了可能致命剂量的肝素。本文将回顾导致肝素用药错误的因素以及将肝素过量风险降至最低的方法。