Medical Mystery: What Caused 11-Year-Old Boy's Death in Operating Room?

Ronald S. Litman, D.O., ISMP's medical director, discusses his investigation into the cause of a fatal medication error during surgery that involved accidental administration of the wrong drug by an anesthesiologist and describes prevention strategies that could prevent similar mistakes, such as bar-coding systems and the use of pre-filled drug syringes.

For the full text of the article, visit Philly.com.