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Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.

ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.

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April 3, 2013

ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.

This newsletter article discusses factors that contributed to the death of a patient in an ambulatory surgery center and recommends improved monitoring practices and alarm management in post-anesthesia care units.

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ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.

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