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Approach to Improving Safety
- Communication Improvement 2
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- Human Factors Engineering 1
- Quality Improvement Strategies
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- Community Pharmacy
- Education and Training
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Journal Article > Study
Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy.
Shah R, Blustein L, Kuffner E, Davis L. J Pediatr. 2014;164:596-601.
This observational study of community pharmacies found that liquid medication dosing instructions for pediatric patients did not consistently reflect recommended best practices. This finding underscores the need to translate safety research into clinical practice.
Tools/Toolkit > Fact Sheet/FAQs
ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.
Institute for Safe Medication Practices. 2011.
This fact sheet provides a list of high-alert medications commonly used in ambulatory care and recommends strategies to reduce risk of errors.
Newspaper/Magazine Article
Medication mistakes that can kill.
Haiken M. Caring.com. August 17, 2009.
To help consumers use medications safely, this article describes 10 common medication mistakes and provides tips on how effective communication and clarification can prevent them.
Cases & Commentaries
Lethal Cap
- Web M&M
Dean Schillinger, MD; March 2004
A misunderstanding of instructions on how to administer medication leads to an infant choking on a syringe cap.