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Cases & Commentaries
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Albert Wu, MD, MPH; November 2011
An elderly man discharged from the emergency department with syringes of anticoagulant for home use mistakenly picked up a syringe of atropine left by his bedside. At home the next day, he attempted to inject the atropine, but luckily was not harmed.
Journal Article > Study
Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226.
This study conducted semistructured interviews with critical care nurses to develop a model for learning from near-miss events.