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Article: Patient safety first alert--epinephrine and phenylephrine in surgical settings.
- Article from:
- AORN Journal
- Article date:
- April 1, 2003
- Author:
CopyrightCOPYRIGHT 2003 Association of Operating Room Nurses, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Epinephrine and phenylephrine previously have been identified as high-alert medications, a designation that results from the narrow margin of safety associated with their use. (1) The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), AORN, the United States Pharmacopeia (USP), and the Institute for Safe Medication Practices all have received reports of adverse events involving epinephrine and phenylephrine in the OR and other surgical settings. These adverse events most frequently were related to solutions being diluted incorrectly or the wrong concentration being used.
A case involving mislabeled epinephrine 1:1,000 that resulted in the ...
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