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PSNet: Patient Safety Network
Journal Article

'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.

Kullberg A, Larsen J, Sharp L. European journal of oncology nursing : the official journal of European Oncology Nursing Society. 2013;17:228-35.

Cancer patients undergoing chemotherapy may be particularly vulnerable to medical errors, as their care often requires use of high-risk medications and must be closely coordinated between multiple physicians. This thematic review focused on methods to improve safety for chemotherapy patients and found evidence that computerized provider order entry could reduce medication errors. However, the authors did not find enough evidence to recommend other interventions that have been proposed, such as patient engagement or teamwork training for patients and families. An AHRQ WebM&M commentary discusses how one institution responded to a serious chemotherapy error.