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Search results for "Near Miss"
Journal Article > Commentary
Cohen MR. Hosp Pharm. 2008;43:257-260.
This monthly selection includes reports of a near miss when using a medication-reconciliation form as an order sheet, epidural tubing mistakenly utilized for an intravenous medication, a topical medication given orally, and problems with monitoring temperatures of medication refrigerators.
Journal Article > Study
Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting.
Lloyd M, Watmough SD, O'Brien SV, Furlong N, Hardy K. Res Social Adm Pharm. 2018;14:936-943.
This study examined prescriber perceptions of a feedback intervention in which pharmacists told prescribers about their errors in order to improve future prescribing. Prescribers received such feedback positively, and the authors recommend systematizing prescribing feedback to enhance medication safety.