Neonatal Heparin Overdose—A Multidisciplinary Team Approach to Medication Error Prevention

摘要

Despite the efforts of many hospitals, system failures can result in medication errors that may be life threatening. During 2006 and 2007, nine neonates received potentially fatal doses of heparin. This paper will review contributing factors to the heparin medication errors and ways to minimize the risk of heparin overdose.