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Reporting of critical incidents shows how errors occur

BMJ 1995; 311 doi: (Published 18 November 1995) Cite this as: BMJ 1995;311:1368
  1. Naresh Nandwani
  1. Registrar in anaesthetics Leicester Royal Infirmary NHS Trust, Leicester LE1 5WW

    EDITOR,--R E Ferner draws attention to the confusion that can be caused when different drugs are labelled in an identical manner.1 I would like to draw attention to another problem.

    Drugs may be presented in two or more strengths in identically sized and labelled ampoules. …

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