Narrow Results Clear All
Search results for "Education and Training"
Journal Article > Commentary
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.
This monthly selection reports on two pediatric deaths due to severe hyponatremia following postoperative fluid administration. Errors involving a missing dose clarification request, a related near miss, and medication name confusion are also described.
Journal Article > Study
Schauberger CW, Larson P. Jt Comm J Qual Patient Saf. 2006;32:419-425.
The authors developed and implemented a toolkit of 11 best practices for patient safety in a health system's ambulatory care clinics. The best practices (which overlapped significantly with the Joint Commission on Accreditation of Healthcare Organizations National Patient Safety Goals) focused on medication safety, including such items as maintaining an accurate medication and allergy list, standardizing prescription writing, educating about look-alike and sound-alike drugs, and removing IV potassium chloride from all locations. Best practices that required system-wide changes (ie, assessing medication list accuracy) required considerable organizational commitment. The practices significantly improved the accuracy of patient medication and allergy lists during the study.