Vial Mistakes Involving Heparin.
Vanderveen T. AHRQ WebM&M [serial online]. May 2009.
Hospitalized for an elective procedure, a patient is given heparin in an incorrect concentration—off by a factor of 100.
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Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.
Pocket Syringe Swap
John C. Kulli, MD AHRQ WEBMM [serial online]. May 2011
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.
Origins of and solutions for neonatal medication-dispensing errors.
Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.
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