Press Coverage

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.

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Since COVID-19 vaccines were granted emergency use authorization, The Institute for Safe Medication Practices (ISMP) has received reports of errors related to storage, preparation, and administration. Because COVID-19 vaccine errors can result in reduced effectiveness, and other safety implications