Accidental IV administration of epinephrine instead of midazolam at colonoscopy

Peer review under responsibility of Alexandria University Faculty of Medicine.

The manuscript was previously presented as a poster in the 14th International Congress of the Egyptian Society of Hepatology, Gastroenterology and Infectious Diseases in Alexandria. Poster Session, August 30, 2012.

Available online 4 December 2014

Abstract

Drug administration errors appear to be a major source of iatrogenic harm to hospitalized patients. They often, particularly in the case of epinephrine, have catastrophic consequences both for the patient and the well-meaning provider. The following incident is a medication error case report which illustrates one way that incorrect medication may be administered. IV epinephrine was accidentally administered instead of midazolam at colonoscopy.

Keywords:

• Medication error
• Medication administration error
• Epinephrine

Acknowledgment

None.

Notes

Peer review under responsibility of Alexandria University Faculty of Medicine.

The manuscript was previously presented as a poster in the 14th International Congress of the Egyptian Society of Hepatology, Gastroenterology and Infectious Diseases in Alexandria. Poster Session, August 30, 2012.

Available online 4 December 2014