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Journal Article > Commentary
Cohen MR. Hosp Pharm. 2008;43:696–698.
This monthly selection of medication error reports describes a case of misidentifying home medications for a hospitalized patient, how character space limitations in medication administration records may cause medication errors, and fatal misuse of a fentanyl patch on a child.
Journal Article > Study
Miller SL, Miller S, Balon J, Helling TS. Ann Emerg Med. 2008;52:483-491.
This study noted frequently inaccurate medication histories at time of admission, particularly for those patients with severe injuries. The authors advocate for the use of clinical pharmacists to review and reconcile medication histories as a patient safety strategy.