Source: Postgraduate Medical Journal
Date of publication: January 2011
Publication type: Article
In a nutshell: This article looks at avoidable errors in the application of intrathecal vincristine. It suggests that there are 5 major areas why these incidents continue to occur, where lessons need to be learned, and applied across the board in other areas of healthcare. These are: 1. Failure to learn from adverse events; 2. Failure of international translation; 3. Failure to achieve compliance with safety guidelines; 4. Failure of investigations and enquiries; 5. Failure of solutions.
Length of publication: 3 pages
Some important information: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.