Drug Error Averted

Nancy Buechier, CRNA; Scott Woodward, AA-C
look-alike vials

To the Editor:

We wanted to alert providers of another example of look-alike vials. Our hospital pharmacy mistakenly placed milrinone in our pre-made drug trays in place of neostigmine. Fortunately, we had no drug errors. It was caught quickly and corrected.

Nancy Buechier, CRNA
Scott Woodward, AA-C
Louisville, KY