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Newspaper/Magazine Article
Delivering the right diet to the right patient every time.
Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70.
This article analyzed data on dietary errors submitted to a state reporting program and found that more than 60% of patients received trays containing food items to which they were allergic. Recommendations to prevent such errors include standardizing practices and using whiteboards as communication tools.
Audiovisual
Woman who died at Alta Bates may be victim of medical error not medication mistake.
Woodall A. Oakland Tribune. September 27, 2011.
This newspaper article reports how a medical error, which occurred during a nursing strike, resulted in a patient's death.
Newspaper/Magazine Article
ALERT: reports of severe harm after intravenous administration of breast milk to infants.
ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
This announcement reports on mistaken intravenous administration of breast milk and provides recommendations to prevent parenteral administration of enteral nutrition.
Journal Article > Study
Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.
Sacks GS, Rough S, Kudsk KA. Pharmacotherapy. 2009;29:966-974.
Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of which occurred at the preparation or administration stages.
Journal Article > Review
Enteral feeding misconnections: an update.
Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334.
This review surveys information on enteral nutrition administration and tubing misconnections and recommends employing increased standards and forcing functions to reduce their incidence.