Confusion over remdesivir vial labels was a prime factor in a compounding error that resulted in overdosing multiple COVID-19 patients at one unidentified hospital, according to the Institute for Safe Medication Practices’ weekly Acute Care Medication Safety Alert!.
“Like many investigational drug container labels,” the ISMP alert stated, the remdesivir vials were “not clearly labeled” and the information was “crowded and in a small