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There have been several incidents of hospital staffers searching computerized medication cabinets with three or fewer letters and then administering or nearly administering the wrong drug. Hospitals are not required to report most drug mix-ups.
After a Tennessee nurse killed a patient because of a drug error, the companies behind hospital medication cabinets said they would make the devices safer. But did they?
More than four years ago, Tennessee nurse RaDonda Vaught typed two letters into a hospital’s computerized medication cabinet, selected the wrong drug from the search results, and gave a patient a fatal dose. Vaught was prosecuted this year in an extremely rare criminal trial for a medical mistake, but the drug mix-up at the center […]