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Palmer J. Patient Saf Qual Healthc. May/June 2019.
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned from the cascade of failures connected with the preventable death of a patient during an acute asthma attack at the door of a hospital emergency department, this magazine article outlines the importance of effective signage, appropriate security staff placement, and acceptance of the responsibility for failure.
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
Patients and clinicians can make medication administration mistakes when new drug delivery mechanisms are introduced. This newsletter article reviews common errors associated with the use of inhalers and offers recommendations for patients, nurses, respiratory therapists, pharmacists, and health care organizations to educate patients on the use of these medications.
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
This article describes the risks of cross-contamination when using shared metered dose inhalers (MDIs) and discusses how standard protocol could help eliminate these problems.