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Wrong route administration of chemotherapy


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: