title: From a Suspect Victim to the Holmes: The Unexpected Value of a Home-Made Mobile Chemotherapy Medication Administration System.
abstract: Nurse used to be the first one to be investigated in a drug adverse event. Our newly hospital-wide implemented home-made mobile chemotherapy medication support system, which has released our nurses from the traditional heavy 2-nurse-double-checking loading, was unexpectedly used to protect our nurses from being suspected in a recent event of over delivery of infusion. The outcome turned us to reexamine the device maintenance and test protocols.
authors.affiliation: Institute of BioMedical Informatics, National Yang-Ming University, Taipei, Taiwan/ROC.
authors.forename: Ming-Chuan
authors.initials: MC
authors.lastname: Kuo
authors.affiliation: Institute of BioMedical Informatics, National Yang-Ming University, Taipei, Taiwan/ROC.
authors.forename: Polun
authors.initials: P
authors.lastname: Chang
mesh_terms: D016907:Adverse Drug Reaction Reporting Systems / Q000295:instrumentation*; D054796:Drug Dosage Calculations; D064420:Drug-Related Side Effects and Adverse Reactions / Q000451:nursing / Q000517:prevention & control*; D018718:Home Infusion Therapy / Q000295:instrumentation / Q000379:methods / Q000451:nursing*; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000458:organization & administration; D013624:Taiwan; D017216:Telemedicine / Q000295:instrumentation* / Q000379:methods