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ISMP Canada News

August 26, 2015: Selection of Incorrect Medication Pump Leads to Chemotherapy Overdose

ISMP Canada received a report about an ambulatory patient who received a chemotherapy drug that was administered more rapidly than prescribed via an elastomeric infusion pump (a type of pump that contains the medication in an elastic "balloon"). Following this incident, the reporting facility developed and implemented a point-of-care checklist in addition to a number of other strategies to reduce the risk of a reoccurrence of this type of incident. This bulletin focuses on the benefits of the point-of-care checklist to improve patient safety.  Read more...