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Newspaper/Magazine Article
Multiple latent failures align to allow a serious drug interaction to harm a patient.
May 18, 2011
ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3.
Detailing a case in which latent failures led to patient harm, this article encourages health care providers investigating adverse events to consider how both active and latent failures may line up to cause errors.
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