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Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
Kelman B. Kaiser Health News. April 29, 2022.
Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022.
The APSF Committee on Technology. APSF Newsletter. 2022;37(1):7–8.
This WebM&M describes an adverse event due to mislabeling or “syringe swap” in a preoperative patient. The commentary outlines several recommendations and safeguards to ensure that medications administration is safe.
Post-acute transitions – which involve patients being discharged from the hospital to home-based or community care environments – are associated with patient safety risks, often due to poor communication and fragmented care. This primer outlines the main types of home-based care services and formal home-based care programs and how these services can increase patient safety and improve health outcomes.
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. ISBN: 9780309686259