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Wrong route administration of chemotherapy

Description

Intravenous or other chemotherapy (for example, vincristine) that is correctly prescribed but administered via the wrong route (usually into the intrathecal space).


Main care setting

Acute care


Preventative guidance

Cancer drugs such as vincristine continue to be given occasionally via the wrong route worldwide, sometimes resulting in paralysis or death of a patient. In 2000, the report An organisation with a memory highlighted incidents where wrong administration of a drug led to the death of a patient. The following guidance for providers on administering intrathecal chemotherapy is available: