Guardians of grafts: reducing medication errors in transplant recipients.

Newspaper/Magazine Article

Guardians of grafts: reducing medication errors in transplant recipients.

April 17, 2024

ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4.

Safe medication therapy for transplant patients is complex and has the potential for serious harm when errors occur. This article reports on an analysis of 520 transplant medication-related errors to summarize the types of mistakes that occurred, and to provide suggestions for improvement that emphasize medication reconciliation, order set development, and clinical decision support use.

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Discontinuities, Gaps, and Hand-Off Problems