Failure to Report
Spath PL. AHRQ WebM&M [serial online]. March 2007.
An infant receives an overdose of the wrong antibiotic (cephazolin instead of ceftriaxone). The nurse spoke with the ED physician on duty but was informed that the medications were essentially equivalent and did not report the error.
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SPECIAL OR THEME ISSUE
The safety and quality of health care: where are we now?
Med J Aust. 2006;184:S37-S72.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
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.
Establishing a culture for patient safety - the role of education.
Milligan FJ. Nurse Educ Today. 2007;27:95-102.
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