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Journal Article > Commentary
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.
Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. Jt Comm J Qual Patient Saf. 2009;35:72-81.
This article describes a structured approach to identify and address medical risks that might arise from changes in clinical practice.
Journal Article > Study
Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences.
Schwappach DLB, Pfeiffer Y, Taxis K. BMJ Open. 2016;6:e011394.
Chemotherapy medications can cause severe patient harm if incorrectly dosed or administered. This cross-sectional survey of oncology nurses revealed that most chemotherapy double-checking is conducted jointly rather than independently. Of note, many nurses reported being interrupted to engage in a double-check.