POSTED: JUNE 27, 2022

More Lessons Learned From RaDonda Vaught Case

Medication errors involving potentially fatal neuromuscular blocking agents (NMBAs) can occur, not only during removal from the automated dispensing cabinet (ADC) but also throughout the entire medication-use process across multiple interdisciplinary teams. As the overarching goal of error reporting is to learn from the error and minimize the potential for a future recurrence, there are many safety lessons to take away from the RaDonda Vaught case. Healthcare practitioners, medication and patient safety officers, and administrators can assess their current practices relating to high-alert medications such as NMBAs, use of technology, and staff education to bridge gaps in protocols, initiate conversations with interdisciplinary safety teams, and monitor effectiveness for continuous improvement.
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Operations & Management

JUNE 27, 2022

More Lessons Learned From RaDonda Vaught Case

Myungsun (Sunny) Ro, PharmD, MS, FISMP

2021-2222 ISMP International Medication Safety Management Fellow

Emily B. Holcomb, PharmD, MBA, BCPS

2021-2022 ISMP Safe Medication Management Fellow

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