Medication Errors with Inhalant Epinephrine Mimicking an Epidemic of Neonatal Sepsis
MEDICATION errors in the care of hospitalized patients are reported to occur as often as 1 in every 20 to 1 in every 6 doses of medication administered. 1 2 3 4 In January 1982, we investigated an outbreak of severe, unexplained illness occurring on a neonatal ward at one hospital. Patients were ini...
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| Veröffentlicht in: | The New England journal of medicine 1984-01, Vol.310 (3), p.166-170 |
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| container_title | The New England journal of medicine |
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| creator | Solomon, Steven L Wallace, Evelyn M Ford-Jones, E. L Baker, W. Mark Martone, William J Kopin, Irwin J Critz, Ann D Allen, James R |
| description | MEDICATION errors in the care of hospitalized patients are reported to occur as often as 1 in every 20 to 1 in every 6 doses of medication administered.
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In January 1982, we investigated an outbreak of severe, unexplained illness occurring on a neonatal ward at one hospital. Patients were initially diagnosed as having neonatal sepsis, but epidemiologic and laboratory investigation showed that these illnesses were the result of a recurring medication error involving the substitution of epinephrine for vitamin E.
Description of the Outbreak
On January 18 and 19, 1982, five babies on the neonatal intermediate-care ward at one hospital . . . |
| doi_str_mv | 10.1056/NEJM198401193100305 |
| format | Article |
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1
2
3
4
In January 1982, we investigated an outbreak of severe, unexplained illness occurring on a neonatal ward at one hospital. Patients were initially diagnosed as having neonatal sepsis, but epidemiologic and laboratory investigation showed that these illnesses were the result of a recurring medication error involving the substitution of epinephrine for vitamin E.
Description of the Outbreak
On January 18 and 19, 1982, five babies on the neonatal intermediate-care ward at one hospital . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM198401193100305</identifier><identifier>PMID: 6690932</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Abdomen ; Case reports ; Catecholamines ; Cross Infection - diagnosis ; Diagnosis, Differential ; Disease Outbreaks - epidemiology ; Drug Labeling ; Epinephrine ; Epinephrine - analysis ; Epinephrine - poisoning ; Humans ; Infant, Newborn ; Infant, Premature, Diseases - diagnosis ; Infectious diseases ; Laboratories ; Medical errors ; Medication Errors ; Mimicry ; Neonates ; Newborn babies ; Ontario ; Respiratory Insufficiency - diagnosis ; Sepsis ; Stomach - analysis ; Vitamin E - administration & dosage</subject><ispartof>The New England journal of medicine, 1984-01, Vol.310 (3), p.166-170</ispartof><rights>1984 INIST-CNRS</rights><rights>Copyright Massachusetts Medical Society Jan 19, 1984</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-9cc35f538845988c7b3435e6f7e3d2835c050d8ca5493a5d17ff727f44778e583</citedby><cites>FETCH-LOGICAL-c393t-9cc35f538845988c7b3435e6f7e3d2835c050d8ca5493a5d17ff727f44778e583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1875901785?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,64383,64387,72239</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9448571$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6690932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Solomon, Steven L</creatorcontrib><creatorcontrib>Wallace, Evelyn M</creatorcontrib><creatorcontrib>Ford-Jones, E. L</creatorcontrib><creatorcontrib>Baker, W. Mark</creatorcontrib><creatorcontrib>Martone, William J</creatorcontrib><creatorcontrib>Kopin, Irwin J</creatorcontrib><creatorcontrib>Critz, Ann D</creatorcontrib><creatorcontrib>Allen, James R</creatorcontrib><title>Medication Errors with Inhalant Epinephrine Mimicking an Epidemic of Neonatal Sepsis</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>MEDICATION errors in the care of hospitalized patients are reported to occur as often as 1 in every 20 to 1 in every 6 doses of medication administered.
1
2
3
4
In January 1982, we investigated an outbreak of severe, unexplained illness occurring on a neonatal ward at one hospital. Patients were initially diagnosed as having neonatal sepsis, but epidemiologic and laboratory investigation showed that these illnesses were the result of a recurring medication error involving the substitution of epinephrine for vitamin E.
Description of the Outbreak
On January 18 and 19, 1982, five babies on the neonatal intermediate-care ward at one hospital . . .</description><subject>Abdomen</subject><subject>Case reports</subject><subject>Catecholamines</subject><subject>Cross Infection - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Disease Outbreaks - epidemiology</subject><subject>Drug Labeling</subject><subject>Epinephrine</subject><subject>Epinephrine - analysis</subject><subject>Epinephrine - poisoning</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - diagnosis</subject><subject>Infectious diseases</subject><subject>Laboratories</subject><subject>Medical errors</subject><subject>Medication Errors</subject><subject>Mimicry</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Ontario</subject><subject>Respiratory Insufficiency - diagnosis</subject><subject>Sepsis</subject><subject>Stomach - analysis</subject><subject>Vitamin E - administration & dosage</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kE1LxDAQhoMoun78AhECepNq0kma5ChL_cLVg3ouMU3crNu0Jl3Ef2-XLZ7EOcwwvM-8Ay9Cx5RcUMKLy8fyfkaVZIRSBZQQIHwLTSgHyBgjxTaaEJLLjAkFe2g_pQUZijK1i3aLQhEF-QS9zGztje59G3AZYxsT_vL9HN-FuV7q0OOy88F28zh0PPONNx8-vGMd1kJthx23Dj_aNuheL_Gz7ZJPh2jH6WWyR-M8QK_X5cv0Nnt4urmbXj1kBhT0mTIGuOMgJeNKSiPegAG3hRMW6lwCN4STWhrNmQLNayqcE7lwjAkhLZdwgE43vl1sP1c29dWiXcUwvKyoFFwRKiQfKNhQJrYpReuqLvpGx--KkmodZPVHkMPVyei9emts_XszJjfoZ6Ouk9FLF3UwPv1iijHJBR2w8w3WNKkKdtH8-_QHgYiFIw</recordid><startdate>19840119</startdate><enddate>19840119</enddate><creator>Solomon, Steven L</creator><creator>Wallace, Evelyn M</creator><creator>Ford-Jones, E. 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Mark</creator><creator>Martone, William J</creator><creator>Kopin, Irwin J</creator><creator>Critz, Ann D</creator><creator>Allen, James R</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>19840119</creationdate><title>Medication Errors with Inhalant Epinephrine Mimicking an Epidemic of Neonatal Sepsis</title><author>Solomon, Steven L ; Wallace, Evelyn M ; Ford-Jones, E. L ; Baker, W. Mark ; Martone, William J ; Kopin, Irwin J ; Critz, Ann D ; Allen, James R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-9cc35f538845988c7b3435e6f7e3d2835c050d8ca5493a5d17ff727f44778e583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Abdomen</topic><topic>Case reports</topic><topic>Catecholamines</topic><topic>Cross Infection - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Disease Outbreaks - epidemiology</topic><topic>Drug Labeling</topic><topic>Epinephrine</topic><topic>Epinephrine - analysis</topic><topic>Epinephrine - poisoning</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - diagnosis</topic><topic>Infectious diseases</topic><topic>Laboratories</topic><topic>Medical errors</topic><topic>Medication Errors</topic><topic>Mimicry</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Ontario</topic><topic>Respiratory Insufficiency - diagnosis</topic><topic>Sepsis</topic><topic>Stomach - analysis</topic><topic>Vitamin E - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Solomon, Steven L</creatorcontrib><creatorcontrib>Wallace, Evelyn M</creatorcontrib><creatorcontrib>Ford-Jones, E. 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In January 1982, we investigated an outbreak of severe, unexplained illness occurring on a neonatal ward at one hospital. Patients were initially diagnosed as having neonatal sepsis, but epidemiologic and laboratory investigation showed that these illnesses were the result of a recurring medication error involving the substitution of epinephrine for vitamin E.
Description of the Outbreak
On January 18 and 19, 1982, five babies on the neonatal intermediate-care ward at one hospital . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>6690932</pmid><doi>10.1056/NEJM198401193100305</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1984-01, Vol.310 (3), p.166-170 |
| issn | 0028-4793 1533-4406 |
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| subjects | Abdomen Case reports Catecholamines Cross Infection - diagnosis Diagnosis, Differential Disease Outbreaks - epidemiology Drug Labeling Epinephrine Epinephrine - analysis Epinephrine - poisoning Humans Infant, Newborn Infant, Premature, Diseases - diagnosis Infectious diseases Laboratories Medical errors Medication Errors Mimicry Neonates Newborn babies Ontario Respiratory Insufficiency - diagnosis Sepsis Stomach - analysis Vitamin E - administration & dosage |
| title | Medication Errors with Inhalant Epinephrine Mimicking an Epidemic of Neonatal Sepsis |
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