A Fatal Medication Error Involving Neuromuscular Blocking Agent and Insights From Wrong Drug Events in Pennsylvania

The Patient Safety Authority (PSA) recently received a report describing a fatal medication error that highlights persistent risks involving wrong drug events.In this event, a patient who was prescribed a medication typically used to treat high blood calcium levels inadvertently received a fatal dose of a neuromuscular blocking agent (NMB) instead.

Authors

Myungsun Ro (ORCID: https://orcid.org/0009-0005-7453-6224)

Publication Details

Journal: Patient Safety
Published: 2025-09-23
DOI: https://doi.org/10.33940/001c.143958
Primary Topic: Pharmaceutical Practices and Patient Outcomes
Type: article
Field-Weighted Citation Impact: 0.00

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article

A Fatal Medication Error Involving Neuromuscular Blocking Agent and Insights From Wrong Drug Events in Pennsylvania

Myungsun Ro

Sep 23, 2025

Patient Safety

Pharmaceutical Practices and Patient Outcomes

article

A Fatal Medication Error Involving Neuromuscular Blocking Agent and Insights From Wrong Drug Events in Pennsylvania

Myungsun Ro

September 23, 2025article en

Abstract

Patient SafetyVol. 7(2)

Openalex Percentile: Top 70%

Pharmaceutical Practices and Patient Outcomes

DOI Open Access PDF OpenAlex

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A Fatal Medication Error Involving Neuromuscular Blocking Agent and Insights From Wrong Drug Events in Pennsylvania — Myungsun Ro · Patient Safety (2025) | TGRS Research Map | TGRS