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Journal Article > Study
Kennedy AG, Littenberg B, Senders JW. Int J Qual Health Care. 2008;20:238-245.
Nurses and office staff reported medication errors identified through communication with community pharmacists. While this voluntary reporting identified many errors, frequent reminders were needed in order to ensure that staff continued reporting errors.
Cases & Commentaries
- Web M&M
Saul N. Weingart, MD, PhD; August 2006
In the office, a man with diabetes has high blood sugar, and the nurse practitioner orders insulin. After administration, she discovers that she has injected the insulin with a tuberculin syringe rather than an insulin syringe, resulting in a 10-fold overdose.