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Journal Article > Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Ewen BM, Combs R, Popelas C, Faraone GM. Home Healthc Nurse. 2012;30:28-37.
This commentary describes how a medication administration error launched one organization's efforts to improve patient safety statewide.
Journal Article > Study
Walsh KE, Roblin DW, Weingart SN, et al. Pediatrics. 2013;131:e1405-e1414.
The ability to treat many types of cancer with oral chemotherapy has benefited patients by minimizing hospitalizations, but it also places the burden to avoid medication errors on them as they must administer risky medications correctly. Prior studies have shown that adults and children with cancer are particularly vulnerable to medication errors and that most oncology practices do not have specific safeguards in place to improve oral chemotherapy medication safety. This study used direct observation (during home visits) to determine the epidemiology of medication errors among children with cancer and found a staggeringly high incidence of 36 potentially harmful errors per 100 patients—higher than some studies of hospitalized patients. The authors judged that more than one-third of the errors could have been prevented by better communication between patients and physicians.
ISMP Medication Safety Alert! Acute Care Edition. November 20, 2014;19:1-3.
Reviewing an incident involving a patient who reported an error with home infusion of chemotherapy which was later determined to be a false alarm, this newsletter article outlines actions that could have been taken to prevent wasted resources and anxiety for the patient and health care providers.