oa Southern African Journal of Anaesthesia and Analgesia - Never trust a drug that can be pronounced in three different ways : medication errors in anaesthesia : SASA refresher course texts

Volume 20, Issue 1
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



Medication errors cause patient death or injury. The worst medication errors involve patient-adverse events with an unknown medication error. This leads to wrong factors being incorrectly blamed and to the development of an illogical adverse event preventive protocol. Most medication errors cause no patient harm. There is a higher risk of medication errors occurring in paediatric than in adult anaesthesia as more drugs need to be diluted.

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