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External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown Copyright: 2001.

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June 18, 2013
Toft B. London, UK; Crown Copyright: 2001.
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This UK Department of Health report details a series of errors that led to the death of a young man due to wrong route administration of the chemotherapy drug vincristine. The fatality occurred as a result of a socio-technical systems failure at the hospital where he received the injection. The report makes 48 recommendations to help minimize the likelihood of this mistake.

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External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown Copyright: 2001.