Addressing Concerns With Medication Administration in the OR

[Re: “With Progress, New Challenges Emerge in Medication Administration in the OR,” June 2025, page 18]

I read with disbelief: “We present a case of a near-miss event in the OR that uncovered flaws in the implementation of an ADS [automated medication storage and dispensing system] that could have resulted in serious patient harm.” In other words: “We have an excuse as for