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Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital
Int J Clin Pharm
Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospital
Asia N. Rashed 0 1
Stephen Tomlin 0 1
0 Pharmacy Department, Evelina London Children's Hospital, Guy's and St. Thomas' NHS Foundation Trust , Westminster Bridge Road, London SE1 7EH , UK
1 Institute of Pharmaceutical Science, King's College London , 150 Stamford Street, London SE1 9NH , UK
& Stephen Tomlin
Recently our research report ‘‘Sources and magnitude of
error in preparing morphine infusions for nurse/patient
controlled analgesia in a UK paediatric hospital’’ was
published online first by the International Journal of
Clinical Pharmacy . However, the statement of the ‘‘impacts
on practice’’ has been changed by the editor before
publication and is not properly announced. Our study’s
participants included healthcare professionals; nurses and
anaesthetists (doctors) and the study results reflect the
current practice used by both professions. Therefore, the
statements on the impact of the research findings on
clinical practice should include both nurses and doctors.
As we did not have the opportunity to review the
statements modified by the editor before the article was
published online, we would like to suggest new
implications for practice as follows:
Impacts on practice
Current practice of preparing morphine intravenous
infusions for children by nurses and doctors in hospital
is often inaccurate.
Providing better training for nurses and doctors
preparing intravenous infusions is essential to improve
accuracy of prepared infusions.
New safer approaches such as using ‘ready-to-use’
standardised concentrations should be considered and
implemented into practice to improve current clinical
Conflicts of interest None.
1. Rashed AN , Tomlin S , Augado V , Forbes B , Whittlesea C. Sources and magnitude of error in preparing morphine infusions for nurse/patient controlled analgesia in a UK paediatric hospital . Int J Clin Pharm . 2016 . doi:10.1007/s11096- 016 - 0369 -3.