Medication errors causing death or serious harm continue to plague hospitals in the United States and worldwide. The British Medical Journal recently published a report on medication errors in ICUs. Injections of drugs was a source of errors occurring often enough that the authors of the article described them as “common.” The most frequently occurring types of mistakes were categorized as those involving “wrong dose, wrong drug, wrong route, wrong time.” Almost 20% of the 887 patients studied suffered  at least one error, and nearly 15% suffered more than one. Alarmingly, of the 113 intensive care units studied, only 19% were error-free. Five patients died as a result of the medication errors and seven patients suffered permanent harm. The numbers do not reflect medication-error related deaths or severe injuries that may have been covered up or not reported. Excessive workload, stress and fatigue were major causes of the medication mistakes studied. Other causes included poor communication, a lack of knowledge, and inadequate supervision.