Circulation 83,045 • Volume 22, No. 4 • Winter 2007   Issue PDF

Drug Error Averted

Nancy Buechier, CRNA; Scott Woodward, AA-C

To the Editor

look-alike vials

We wanted to alert providers of another example of look-alike vials. Our hospital pharmacy mistakenly placed milrinone in our pre-made drug trays in place of neostigmine. Fortunately, we had no drug errors. It was caught quickly and corrected.

Nancy Buechier, CRNA
Scott Woodward, AA-C
Louisville, KY