AHRQ Patient Safety Network

Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.

ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.

This article examines a case in which a health care professional faces criminal charges for a medication error. The piece discusses how criminalization of errors in health care could thwart broader efforts to learn from mistakes.

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NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:547-550, 554.

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Resource Type

Newspaper/Magazine Article

Setting of Care

Children’s Hospitals

Target Audience

Health Care Executives and Administrators

Policy Makers

Clinical Area

Medical Oncology

Hospital Pharmacy

Safety Target

Device-related Complications

Medication Errors/Preventable Adverse Drug Events

Error Types

Active Errors

Latent Errors

Approach to Improving Safety

Legal and Policy Approaches

Communication between Providers

Human Factors Engineering

Origin/Sponsor

United States of America