| Error-Reduction Strategies |
Yes |
No |
Sometimes |
| a. Are doses of IV vincristine diluted and dispensed/administered in a minibag? |
23% |
71% |
5% |
| b. Are doses of IV vincristine diluted and dispensed/ administered in a syringe? |
52% |
43% |
5% |
| c. Are intrathecal medications packaged in a distinctive container not used for any other purpose to prevent confusion with IV medications, including vincristine? |
55% |
41% |
4% |
| d. Do doses of IV vincristine include warning labels stating: “Fatal if given intrathecally. For IV use only.” (or similar labeling)? |
54% |
7% |
1% |
| e. Are vincristine injections placed in an overwrap with a second warning label affixed? |
77% |
20% |
3% |
| f. Does a pharmacist independently double-check IV vincristine doses, even if another pharmacist initially prepared the dose? |
76% |
17% |
7% |
| g. Is IV vincristine delivered from the pharmacy to a location where intrathecal drugs are prohibited? |
24% |
71% |
5% |
| h. If a patient is receiving IV vincristine and an intrathecal medication, does the organization have a process to verify that the intrathecal injection has been completed before dispensing IV vincristine (or vice versa)? |
43% |
54% |
3% |
| i. Do two health professionals independently check IV vincristine doses before administration? |
94% |
4% |
2% |
| j. Are doses of IV vincristine prohibited from being administered in the same location where intrathecal medications are given? |
39% |
58% |
4% |
| k. Is IV vincristine banned from rooms where lumbar punctures are performed? |
40% |
58% |
2% |
| l. Are those who prescribe, prepare, dispense, and administer chemotherapy educated about published case reports of fatal intrathecal administration of IV vincristine? |
90% |
3% |
7% |