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Deadly Dose: Pharmacy Error Kills Infant

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Deadly Dose: Pharmacy Error Kills Infant
Deadly Dose: Pharmacy Error Kills Infant

* How did the error occur?
The error occurred because the infant Alyssa Shinn was administered a wrong dosage of zinc she was 330 milligrams instead of 330 micrograms of zinc. This meant that 1,000 times more zinc than had been prescribed was transfused into baby Alyssa. * What do you think was one of the main reasons for the error?
The two pharmacist technicians fail to reset the machine and to check Goff's calculation. The safety stop on the mixing machine had not been set, and a technician reading the order had replenished the machine 11 times with zinc; using 48 vials of zinc total which resulted in a fatal overdose. * Discuss all the individuals in the pharmacy who were involved
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