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- Error Reporting and Analysis 1
- Human Factors Engineering 1
- Quality Improvement Strategies 1
- Specialization of Care 2
- Technologic Approaches 2
- Device-related Complications 1
- Medication Errors/Preventable Adverse Drug Events 3
- Nonsurgical Procedural Complications 1
- Surgical Complications 1
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Cases & Commentaries
- Web M&M
Lorri A. Lee, MD; June 2005
A woman undergoes surgery and immediately has blurry vision, mistakenly attributed to ointment. Two weeks later, she returns complaining of blindness in one eye.
Journal Article > Commentary
Oh SS, Sinclair-Pingel J, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:255–257.
The authors discuss the development of computerized ordering screens for renal replacement therapy.
Journal Article > Study
Jani YH, Ghaleb MA, Marks SD, Cope J, Barber N, Wong IC. J Pediatr. 2008;152:214-218.
Complex drug regimens have been associated with medication errors in pediatric ambulatory practice. This study found that a commercial electronic prescribing system nearly eliminated handwriting errors in a pediatric specialty clinic, though actual adverse drug events were not measured.
ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.