title: [Intoxication of female patient with generalised cancer in hospital--a case report].
abstract: Medical errors are crucial factors influencing hospital mortality. We present a case of 79-year-old female, who was admitted to the hospital due to complications associated with advanced cancer disease. After several days of hospitalization, the woman died as a result of cancer as well as severe drugs intoxication. The investigation showed extremely high concentrations of chlorprothixen and tramadol in the. blood of the patient. This paper describes a number of medical errors made by hospital staff, of which the most significant was an inappropriate drugs policy.
authors.forename: Marek
authors.initials: M
authors.lastname: Wiergowski
authors.forename: Daria
authors.initials: D
authors.lastname: Schetz
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Jankowski
authors.forename: Barbara
authors.initials: B
authors.lastname: Sumińska-Zuminska
authors.forename: Jacek
authors.initials: J
authors.lastname: Sein Anand
mesh_terms: D000368:Aged; D002749:Chlorprothixene / Q000009:adverse effects / Q000506:poisoning*; D064420:Drug-Related Side Effects and Adverse Reactions / Q000175:diagnosis; D017809:Fatal Outcome; D005260:Female; D006760:Hospitalization; D006801:Humans; D009369:Neoplasms / Q000150:complications*; D014147:Tramadol / Q000009:adverse effects / Q000506:poisoning*
chemical_list: D014147:Tramadol; D002749:Chlorprothixene