medical_error · 2022-Q2
Bureau du coroner (Québec) · Bureau du coroner
Finding
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Disposition
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Cohort size
5
Redacted summary
A person died from an accidental overdose of medication administered in a palliative care context at their home, due to a transcription error of doses. The coroner's office made recommendations to the regulatory body to improve vigilance in medication administration and implement robust multiple verification processes.
Officer
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Source
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