Table 1

Representative Reported Errors

Presenting ED DiagnosisMedication prescribedED Estimated weightMeasured weight on inpatient admission
Acute Coronary SyndromeHeparin drip143 kg130.9 kg
Acute StrokeAlteplase (tPA)120 kg71.5 kg
Acute Tylenol OverdoseAcetylcystine (Acedote)75 kg117 kg
SepsisVancomycin; 30cc/kg fluid bolus100 kg66 kg