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Search results for "Surgical Complications"
Cases & Commentaries
- Web M&M
Tim Vanderveen, PharmD, MS; May 2009
Hospitalized for an elective procedure, a patient is given heparin in an incorrect concentration—off by a factor of 100.
Journal Article > Study
Garnerin P, Huchet-Belouard A, Diby M, Clergue F. Acta Anaesthesiol Scand. 2006;50:1114-1119.
The authors describe the systematic analysis of an incident involving inappropriate use of a medical device and discuss how their process for understanding and resolving the problem supported the safety culture in their organization.