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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Healthcare Leaders Urged to Avoid Severity Bias, Establish Just Culture In the wake of recent criminal charges being filed against a registered nurse in Tennessee who was involved in a fatal medication error, the Institute for Safe Medication Practices (ISMP) is emphasizing that the focus should be