Q-Tip: From Local Quality Improvement to National Drug Recall
Year: 2013
Type: article
Abstract: Medication errors due to look-alike drugs put patients at risk and can be fatal. Neuromuscular blocking agents, such as vecuronium, can cause awake-paralysis in patients if administered as a single agent. Recent literature reported six cases in which vecuronium was inadvertently administered instead of the antibiotic drug cefazolin. This article describes a standardized quality improvement process used at The Johns Hopkins Hospital that was locally implemented following an adverse drug event and culminated in a nationwide FDA-mandated drug recall of vecuronium.
Authors: Kurt R. Herzer, Christine Lim, Matthew Li, Yanjun Xie, Peter A. Doyle, Renee Cover, Lynette J. Mark
Language: English
Subfield: Emergency Medical Services
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2111918966