Safety Bulletin and Patient Death Review Committee Report
The most recent issue of the Institute for Safe Medication Practices Canada (ISMP) Safety Bulletin included an article and summary of a Patient Safety Death Review Committee Report from the Office of the Chief Coroner regarding a death associated with an IV Compounding Error and Management of Care in a Naturopathic Centre. This summary and the report serve as a good reminder for anyone who incorporates compounding or IVIT into their practice about the importance of considering the potential risks associated with the compounding process and of establishing emergency protocols to mitigate patient harm.
The complete ISMP Safety Bulletin can be read here
The Patient Safety Death Review Committee Report from the Office of the Chief Coroner can be downloaded below: