Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Mark Nunnally; Yuval Bitan

Commentary

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

November 8, 2006

Nunnally M, Bitan Y. J Patient Saf. 2008;2(3).

View more articles from the same authors.

The authors analyzed secondary (piggyback) infusions at their institution to illustrate human factors vulnerabilities in the process that could contribute to medication delivery failures.

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