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Search results for "Newspaper/Magazine Article"
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.
This article analyzes a lethal error involving TPN (total parenteral nutrition), in which dosing and compounding were based on incorrect order entry, and provides recommendations to prevent similar errors.
Ostrom CM. The Seattle Times. May 21, 2005.
This article reports how one medical center changed their preoperative procedures after a "near miss." The hospital's patient-safety approach is designed to openly identify and evaluate incidents to prevent future mistakes.