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Derek C. Angus, MD, MPH; Eric B. Milbrandt, MD, MPH; July 2004
Following a motor vehicle collision, a patient is mistakenly given drotrecogin alfa (activated) for organ failure not due to sepsis.
Vecchione A. Drug Topics. July 11, 2005;149:24.
This article summarizes the 2006 Joint Commission on Accreditation of Healthcare Organizations patient safety goals and how hospital pharmacists can contribute to their successful implementation.
Journal Article > Study
Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.
Donihi AC, DiNardo MM, DeVita MA, Korytkowski MT. Qual Saf Health Care. 2006;15:89-91.
Investigators implemented a sliding scale insulin protocol and physician order form to standardize the delivery of insulin. They found the tool was used in 91% of orders and considerably reduced prescription errors and episodes of hyperglycemia.
Journal Article > Commentary
Cohen MR. Hosp Pharm. 2007;42:982-986.
This monthly commentary examines risks associated with mismanagement of IV tubing and ports, discusses a recent article regarding unintended consequences of computerized provider order entry (CPOE), and details recent changes to similarly named medications.
Journal Article > Study
In-home medication reviews: a novel approach to improving patient care through coordination of care.
Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.
This study found that trained undergraduate student volunteers were able to complete important medication reviews for patients as part of an in-home outreach program.
Journal Article > Review
U.S. compounding pharmacy-related outbreaks, 2001–2013: public health and patient safety lessons learned.
Shehab N, Brown MN, Kallen AJ, Perz JF. J Patient Saf. 2018;14:164-173.
Decerbo M. Pharmacy Practice News. September 13, 2018.
Parenteral nutrition errors can result in patient malnutrition and harm. Reporting on how insufficient understanding of malnutrition contributes to its presence in health care, this news article suggests that both general guidelines and tailored approaches to nutrition are necessary to keep hospitalized patients safe. Improvements in addressing the complicated needs of patients who are older or have cancer illustrate progress made toward the effective delivery of nutrition.