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Obstetric Neuraxial Drug Administration Errors: A Quantitative and Qualitative Analytical Review.
Anesth Analg
December 2015
From the *Department of Anesthesia, Royal Oldham Hospital, Pennine Acute NHS Trust, Oldham, Greater Manchester, United Kingdom; and †Speciality Trainee, Northwest School of Anesthesia, Northwest Deanery, Manchester, United Kingdom.
Background: Drug administration errors in obstetric neuraxial anesthesia can have devastating consequences. Although fully recognizing that they represent "only the tip of the iceberg," published case reports/series of these errors were reviewed in detail with the aim of estimating the frequency and the nature of these errors.
Methods: We identified case reports and case series from MEDLINE and performed a quantitative analysis of the involved drugs, error setting, source of error, the observed complications, and any therapeutic interventions.