In 2006, an overdose of fluorouracil had fatal consequences in an oncology patient. To safeguard chemotherapy use, remember the following recommendations from the ISMP:
* Standardize labeling
* Update certification of nurses administering chemotherapeutic agents
* Safeguard pump use
* Enhance double-checks (use charts when possible)
* Use checklists to standardize sequencing and workflow
* Include the patient
* Establish overdose protocols
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