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Journal Article > Commentary
Cohen MR. Hosp Pharm. 2008;43:696–698.
This monthly selection of medication error reports describes a case of misidentifying home medications for a hospitalized patient, how character space limitations in medication administration records may cause medication errors, and fatal misuse of a fentanyl patch on a child.
Journal Article > Study
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.
Odegard S, Andersson DK. J Nurs Manag. March 2006;14:116-127.
The investigators surveyed Swedish municipal health care workers and found that attitudes about patient safety among nurses with medical responsibility may heighten the risk of home care aides' making errors in caring for diabetes patients.