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Monday 2:03 CST, March 30, 2015

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Sentinel Event Alert, Issue 15: Infusion Pumps: Preventing Future Adverse Events

November 30, 2000

sea 15 infusionMishaps involving the use of infusion pumps have led to deaths and near-fatal drug overdoses in health care organizations nationwide. Experts have identified several human and mechanical errors, however, the main problem they emphasize is organizations' use of pumps that do not provide protection from the free-flow of intravenous fluid/medication into the patient. In addition, problems can occur when the wrong drug concentration is given or the wrong rate is set.