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Cases & Commentaries
- Web M&M
Rodney W. Hicks, PhD, RN, FNP; February 2013
After delivering a healthy infant via Caesarean section, a young woman was to receive morphine via PCA pump. A mix-up in programming the concentration of medication delivered by the pump led to a fatal outcome.
Journal Article > Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.
A comprehensive quality improvement intervention resulted in a significant reduction in adverse drug events due to opioid pain medications, particularly in the immediate postoperative period.
Journal Article > Commentary
Pasero C. J Perianesth Nurs. 2013;28:31-37.