Volume 21, Issue 24
Medication Safety Alert! December 1, 2016
In this week's issue:
- Accidental Intravenous (IV) Infusion of Heparinized Irrigation in the Operating Room (OR)
- Betaine anhydrous vs. betaine hydrochloride
- Minibag volume confusion
Problem: Accidental intravenous (IV) administration of a solution intended for bladder or wound irrigation is a repetitive error that has been the topic of numerous events published in this newsletter. These events typically involved confusion between unlabeled solutions on the sterile field, mix...