title: Fatal epidural infusion-call for a system-wide change.
authors.forename: A
authors.initials: A
authors.lastname: Cyna
authors.forename: S
authors.initials: S
authors.lastname: Simmons
authors.forename: K
authors.initials: K
authors.lastname: Osborn
authors.forename: M
authors.initials: M
authors.lastname: Andrew
mesh_terms: D000767:Anesthesia, Epidural / Q000009:adverse effects* / Q000295:instrumentation; D000775:Anesthesia, Spinal / Q000009:adverse effects* / Q000295:instrumentation; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007260:Infusion Pumps; D008508:Medication Errors / Q000401:mortality*