Summary
This article reflects on the death of Wayne Jowett and the impact this had on how the NHS approaches patient safety. Wayne died after the cytotoxic drug vincristine, intended for intravenous injection, was instead injected into his spine. The circumstances around his death informed the subsequent development of Serious Reportable Events in the NHS, and later the Never Events Framework.
Death of teenager from a drug error a decade ago has made UK a leader in safety (30 May 2012)
https://www.bmj.com/content/344/bmj.e3826.full
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