Narrow Results Clear All
- Communication Improvement 2
- Education and Training 1
- Error Reporting and Analysis 1
- Logistical Approaches 1
- Teamwork 1
- Clinical Information Systems 3
Search results for ""
Cases & Commentaries
- Web M&M
John Q. Young, MD, MPP; July 2011
A healthy elderly man presented to his primary care doctor—a third-year internal medicine resident—for routine examination. A PSA test was markedly elevated, but the results came back after the resident had graduated, and the alert went unread. Months later, the patient presented with new onset low back pain and was diagnosed with metastatic prostate cancer.
Journal Article > Study
Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, Jiménez-Torres NV. J Oncol Pharm Pract. 2010;16:105-112.
ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.
This article discusses a case of data entry error in an electronic prescribing system, explains the contributing factors, and provides recommendations to prevent such errors.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.