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PSNet: Patient Safety Network
Newspaper/Magazine Article

Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps.

ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.

The perioperative environment is vulnerable to medication error. This newsletter article highlights how container confusion and syringe swaps are particularly susceptible to failures and offers recommendations to address risks.