Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

Newspaper/Magazine Article

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

May 7, 2018

ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.

Detailing a recent lethal overdose of heparin, this piece describes common risks and offers suggestions to improve the safety of heparin administration.

Free full text

Related information

Related Resources From the Same Author(s)

Ensuring competency and safety when onboarding newly hired professional staff.

May 3, 2023

Building patient safety skills: common pitfalls when conducting a root cause analysis.

June 10, 2018

ISMP updates its list of drug name pairs with Tall man letters.

June 10, 2018

Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.

June 10, 2018

Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations.

May 12, 2021

Disrespectful behaviors—part 1 and part 2.

May 7, 2014

A shortage of everything except errors: harm associated with drug shortages.

September 8, 2016

Another tragic parenteral nutrition compounding error.

June 10, 2018

Shared MDIs: can cross-contamination be avoided?

May 7, 2018

Some red rules shouldn't rule in hospitals.

May 2, 2018

Related Resources

A biased test kept thousands of Black people from getting a kidney transplant.

April 10, 2024

Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.

April 26, 2023

Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.

June 20, 2018

Medical device alarm safety in hospitals.

December 23, 2016

MGH death spurs review of patient monitors.

September 30, 2015

Making healthcare safer by understanding, designing and buying better IT.

July 22, 2015

Tennessee Center for Patient Safety.

September 10, 2013

Ensuring patient safety in wireless medical device networks.

July 23, 2010

WebM&M Cases

Danger in Disruption

October 1, 2009

Smart pumps: advanced capabilities and continuous quality improvement.

February 14, 2007

See More About The Topic

General Hospitals

Health Care Providers

Health Care Executives and Administrators

Engineers

Gastroenterology

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users