Accidental hypoglycaemia caused by an arterial flush drug error: a case report and contributory causes analysis
Author:
Affiliation:
1. Department of Anaesthesia and Intensive Care Medicine; Royal United Hospital; Bath UK
Publisher
Wiley
Subject
Anesthesiology and Pain Medicine
Link
http://onlinelibrary.wiley.com/wol1/doi/10.1111/anae.12388/fullpdf
Reference20 articles.
1. National Patient Safety Agency Problems with infusions and sampling from arterial lines http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59891
2. Fatal neuroglycopaenia after accidental use of a glucose 5% solution in a peripheral arterial cannula flush system;Sinha;Anaesthesia,2007
3. Arterial lines - Rapid Response Report supporting information http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59891
4. Management of arterial lines and blood sampling in intensive care: a threat to patient safety?;Leslie;Anaesthesia,2013
5. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review;Lawton;British Medical Journal Quality and Safety,2012
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