PT  - JOURNAL ARTICLE
AU  - V A Selvan
AU  - S H S Calvert
AU  - G Cavell
AU  - E Glucksman
AU  - M Kerins
AU  - J Gonzalez
TI  - Weight-based N-acetylcysteine dosing chart to minimise the risk of calculation errors in prescribing and preparing N-acetylcysteine infusions for adults presenting with paracetamol overdose in the emergency department
AID  - 10.1136/emj.2006.043141
DP  - 2007 Jul 01
TA  - Emergency Medicine Journal
PG  - 482--484
VI  - 24
IP  - 7
4099  - http://emj.bmj.com/content/24/7/482.short
4100  - http://emj.bmj.com/content/24/7/482.full
SO  - Emerg Med J2007 Jul 01; 24
AB  - Management of paracetamol overdose (POD) is common in the emergency department (ED) and forms part of the clinical effectiveness audit programme of the British Association for Emergency Medicine. N-acetylcysteine (NAC) infusion regimens for the treatment of POD are complicated and prescribing and administration errors have been well documented. This study assessed the ability of doctors and nurses to calculate correct doses using manual calculation skills and a weight-based NAC dosing chart when prescribing and preparing NAC infusions. With manual calculations, errors were made by doctors and nurses in 26% of cases collectively. No errors were made using the dosing chart. The dosing chart ensured 100% accuracy in dose calculations, which may translate into improved patient safety.