title: A near miss involving cyclophosphamide.
abstract: Reports of near miss incidents offer valuable learning opportunities. In this article, the authors highlight a near miss incident that occurred in an intensive care unit with the cytotoxic medication cyclophosphamide, for a non-oncology indication. The learning from this incident, including recommendations, is shared.
authors.affiliation: Institute for Safe Medication Practices Canada.
authors.forename: Christine
authors.initials: C
authors.lastname: Koczmara
authors.forename: Larry
authors.initials: L
authors.lastname: Broadfield
authors.forename: Sylvia
authors.initials: S
authors.lastname: Hyland
authors.forename: Roger
authors.initials: R
authors.lastname: Cheng