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PSNet: Patient Safety Network
Journal Article

Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study.

Gilbert RE, Kozak MC, Dobish RB, et al. Journal of oncology practice. 2018;14:e295-e303.

This direction observation study identified multiple vulnerabilities in the chemotherapy medication compounding process. The authors emphasize the complexity of this entirely manual process and suggest that current practices carry significant risk for patient harm.