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Search results for "Newspaper/Magazine Article"
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.
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.