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Search results for "Monitoring Errors and Failures"
- Monitoring Errors and Failures
Journal Article > Government Resource
Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. January 13, 2006;55:1-5.
This study reports on the incidence of unintentional exposure to prescription and over-the-counter medications that are not properly stored out of reach of young children.
Journal Article > Commentary
Cohen MR. Hosp Pharm. 2005;40:556-557.
This monthly selection of medication error reports provides examples from the field of potential errors and helpful tips on how to avoid similar mistakes.
Journal Article > Study
Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.
This medication safety study describes a process to prevent unsafe medication dispensing from automated systems. Investigators evaluated the types and frequencies of medications administered by override, used an expert panel to revise the medication override list, developed a tool for override monitoring, and specifically measured the change in override use of opioids (a high-alert medication class). The authors discuss their multifaceted approach, present examples of the changes that resulted, and offer steps for other organizations interested in similar implementation strategies.