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Search results for "Medication Errors/Preventable Adverse Drug Events"
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2011;16:1-3.
This piece discusses medication errors during emergency resuscitations and outlines risk-reduction strategies.
Journal Article > Commentary
Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.
Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.
The authors describe a pharmacy-driven, multidisciplinary medication history and reconciliation initiative that reduced drug errors at their institution over a 3-year period.
Cases & Commentaries
- Spotlight Case
- Web M&M
Derek C. Angus, MD, MPH; Eric B. Milbrandt, MD, MPH; July 2004
Following a motor vehicle collision, a patient is mistakenly given drotrecogin alfa (activated) for organ failure not due to sepsis.
Journal Article > Study
Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.
The authors implemented a comprehensive unit-based safety program (CUSP) in two intensive care settings. They conclude that the program improved safety culture and decreased length of stay, medication errors, and nursing turnover rates.