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ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
This article describes dosing errors associated with improper concentration programming of patient controlled analgesia (PCA) pumps and provides recommendations for preventing future errors.
Daner WE, Gosselin RC, Raschke R, Vanderveen T. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
This article explains safety challenges commonly associated with heparin, a high-alert medication, and outlines how hospitals and clinicians can prevent these errors.