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PSNet: Patient Safety Network
Journal Article

New technology, new errors: how to prime an upgrade of an insulin infusion pump.

Rule AM, Drincic A, Galt KA. Joint Commission journal on quality and patient safety. 2007;33:155-62.

The authors share a case report of errors associated with the introduction of new equipment in an ambulatory setting and discuss the importance of device selection and user training to minimize these failures.