The quest to eliminate intrathecal vincristine errors: a 40-year journey

Source: Postgraduate Medical Journal

 Follow this link for abstract

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.

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