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Journal Article > Commentary
Greenwalt M, Griffen D, Wilkerson J. BMJ Qual Improv Rep. 2017;6:u214416.w5476.
Inaccurate assessments of patient weight can lead to medication dosing errors. This commentary describes how a single-center quality improvement project drew from errors in the emergency department associated with incorrect patient weight estimates and applied storytelling, Lean Six Sigma, and Fishbone diagram approaches to develop and test a method of entering weights that eliminated these errors during the 6-month intervention period.
Journal Article > Study
Gertler SA, Coralic Z, López A, Stein JC, Sarkar U. J Patient Saf. 2016;12:119-124
Adverse drug events (ADEs) are a common reason for emergency department (ED) visits in elderly patients. This study used root cause analyses—which incorporated patient perspectives—of ED visits for ADEs to identify contributing factors related to drugs (e.g., prescribing of high-risk medications), patients (e.g., low health literacy), and the environment (e.g., poor access to care).