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Cases & Commentaries
- Web M&M
Jeanne Mandelblatt, MD, MPH; February 2004
A physician who does not accept Medicaid turns away a woman needing evaluation for 2 years of profuse vaginal bleeding. She later presents to the ED, where examination reveals invasive cervical cancer.
Legislation/Regulation > Sentinel Event Alerts
The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) issued this alert to bring attention to a rare but potentially severe administration error reported with the cancer drug vincristine. A previous editorial discusses similar errors.
ISMP Medication Safety Alert! Acute Care Edition. February 23, 2006;11:1-2.
This article summarizes intravenous vincristine safety practices collected from more than 400 responses to a national online survey.
Journal Article > Commentary
Schulmeister L. Clin J Oncol Nurs. 2006;10:35-41.
The author explains how similar product names and labels contribute to medication errors in cancer treatment and shares risk reduction strategies to minimize such mistakes.
Journal Article > Study
Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication.
Singh H, Wilson L, Petersen LA, et al. BMC Med Inform Decis Mak. 2009;9:49.
Technical problems with an electronic reminder system resulted in failure to follow up many abnormal fecal occult blood test results.