ISMP medication error report analysis.
Approach to Improving Safety
- Audit and Feedback
- Practice Guidelines
- Provider-Patient Communication
- Computerized Adverse Event Detection
- Patient Education
- Device-related Complications
- Medication Errors/Preventable Adverse Drug Events
- Look-Alike, Sound-Alike Drugs
- Nosocomial Infections
This monthly selection of medication error reports includes examples of drug name confusion, communication failures, and insulin pen misuse.