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Seattle Children's admits mistake led to boy's death.
Feldman D, Moore K. KING TV. Seattle, WA. September 29, 2009.
 

This news story reports on the death of a pediatric patient after he was mistakenly prescribed fentanyl for pain management following a dental procedure. The hospital disclosed the error and has publicly apologized.
 
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Resource Type:  Audiovisual

Setting of Care:  Hospitals > Children’s Hospitals

Target Audience:  Patients

Clinical Area:  Dentistry

   Medicine > Pediatrics

   Pharmacy > Hospital Pharmacy

Safety Target:  Medication Safety > Medication Errors/Preventable Adverse Drug Events > Ordering/Prescribing Errors

   Medication Safety > Specific to High-Risk Drugs > Opiates/Narcotics

Error Types:  Active Errors > Cognitive Errors ("Mistakes")

Approach to Improving Safety:  Error Reporting and Analysis > Error Reporting > Patient Disclosure

Origin/Sponsor:  North America > United States of America
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