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Journal Article > Commentary
Asdigha MN. Hosp Pharm. 2006;41:1067-1075.
The author describes changes made within the neonatal intensive care unit to improve medication use safety, including eliminating the "rule of 6" for medication preparation and installing smart pump technology.
ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
This article analyzes a fatal error involving parenteral nutrition and makes recommendations to prevent such incidents.
Journal Article > Study
Kizzier-Carnahan V, Artis KA, Mohan V, Gold JA. J Patient Saf. 2019;15;246-250.
This study found that laboratory values designated as "abnormal" or "panic" in the electronic health record, which are considered passive alerts, are very common for patients in the intensive care unit. The authors suggest that these passive alerts contribute to the pervasive problem of alert fatigue in the intensive care unit.