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The State provided the following informatiThe State provided the following information via facsimile:</br>On March 5, 2006, a technician at St. Francis North Hospital contacted the Cardinal Health pharmacy to inform them that a scan on a patient had shown lung imaging instead of the expected cardiac imaging after administering a dose labeled Myoview. An investigation revealed that the customer's Tc-99m Myoview dose for cardiac imaging had mistakenly been dispensed as a Tc-99m MAA dose which is for lung imaging.</br>The cause of this event was a failure by the dispensing pharmacist to follow proper Cardinal Health compounding procedures. The pharmacist pulled the wrong kit from the refrigerator. The pharmacist performed a QC test on the dose, but failed to label the starting point on the QC chromatography strip, which led to a misinterpretation of the failing test as a passing test. </br>In order to prevent a recurrence of this event, the pharmacy is going to begin requiring all employees performing QC tests to label the starting point of all QC strips. Also, the pharmacy is planning to switch brands of MAA since the Drax MAA vial and the Myoview vials are identical in appearance.Myoview vials are identical in appearance.  +
06:00:00, 5 March 2006  +
42,418  +
14:45:00, 14 March 2006  +
06:00:00, 5 March 2006  +
The State provided the following informatiThe State provided the following information via facsimile:</br>On March 5, 2006, a technician at St. Francis North Hospital contacted the Cardinal Health pharmacy to inform them that a scan on a patient had shown lung imaging instead of the expected cardiac imaging after administering a dose labeled Myoview. An investigation revealed that the customer's Tc-99m Myoview dose for cardiac imaging had mistakenly been dispensed as a Tc-99m MAA dose which is for lung imaging.</br>The cause of this event was a failure by the dispensing pharmacist to follow proper Cardinal Health compounding procedures. The pharmacist pulled the wrong kit from the refrigerator. The pharmacist performed a QC test on the dose, but failed to label the starting point on the QC chromatography strip, which led to a misinterpretation of the failing test as a passing test. </br>In order to prevent a recurrence of this event, the pharmacy is going to begin requiring all employees performing QC tests to label the starting point of all QC strips. Also, the pharmacy is planning to switch brands of MAA since the Drax MAA vial and the Myoview vials are identical in appearance.Myoview vials are identical in appearance.  +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 14 March 2006  +
LA-5119-L01  +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
23:35:44, 24 November 2018  +
14:45:00, 14 March 2006  +
9.365 d (224.75 hours, 1.338 weeks, 0.308 months)  +
06:00:00, 5 March 2006  +
Agreement State Report - Patient Received Improper Medical Dose  +
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