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Search results for "Education and Training"
ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.
This article describes common problems associated with insulin pen injectors and provides recommendations for their safe use.
Cases & Commentaries
- Web M&M
Clarence H. Braddock III, MD, MPH; November 2008
A woman with diabetes is admitted to a teaching hospital in July. An intern, who received training at a hospital where only paper orders were used, mistakenly chose the wrong form for the insulin order. As a result, the insulin dose was not adjusted for the patient's NPO (nothing by mouth) status, and she became unresponsive.
Audiovisual > Audiovisual Presentation
Food and Drug Administration (FDA) Patient Safety News. Show #79. September 2008.
This collection of video segments offers information on common types of medical errors, particularly medication errors, based on reports to the Institute for Safe Medication Practices.
Journal Article > Commentary
Cohen MR, Smetzer JL. Hosp Pharm. 2007;42:884–888.
This monthly analysis examines recently reported errors in prescribing fentanyl patches, ordering insulin, and administering vincristine.
Bethesda, MD: American Society of Health-System Pharmacists; 2006.
This report contains recommendations from a panel of experts convened to determine best practices for improving the safety of insulin use.