Two pediatric patients in Pennsylvania hospitals received overdoses of the drug Tamiflu to treat their flu symptoms. Both children were unharmed, but details of the near misses have been published in a supplementary Pennsylvania Patient Safety Advisory. In addition, the Institute for Safe Medication Practices has alerted health care professionals about the risk of dosage errors related to the varying Tamiflu concentrations.

For the complete 2009 November supplementary Pennsylvania Patient Safety Advisory, go to www.patientsafetyauthority.org. For more information from ISMP, go to www.ismp.org. For more information about Tamiflu, go to www.tamiflu.com. For more information about the FDA-approved directions for compounding Tamiflu go to www.rocheexchange.com.