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An 85-year-old Gatineau, Que., man died in hospital after he was accidentally given methadone, which had been prescribed to another patient, said a coroner’s report released Tuesday. William Madaire was admitted to the hospital in October 2017 because he was falling and experiencing confusion. He died 11 days later after he was given the wrong medication, Outaouais coroner Pascale Boulay wrote in her report. “It’s a tragedy, [it] should not have happened,” Boulay said in an interview Tuesday. The report outlines how a series of medical errors contributed to Madaire’s death. A nurse mistakenly transcribed a methadone prescription from the chart of a female patient who used to be in Madaire’s room, and then, without checking his identity, an auxiliary nurse gave Madaire five milligrams of the methadone. What happened in the incident? Who was involved? What were the ramifications for the patient and/or staff? Reflect on the incident and think about some causes and possible interventions that could have prevented the error.
SCIENCE
HEALTH SCIENCE
NURSING

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