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Commentary

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43(4):257-260.

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May 7, 2008
Cohen MR. Hosp Pharm. 2008;43(4):257-260.

This monthly selection includes reports of a near miss when using a medication-reconciliation form as an order sheet, epidural tubing mistakenly utilized for an intravenous medication, a topical medication given orally, and problems with monitoring temperatures of medication refrigerators.