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Journal Article > Commentary
Cohen MR. Hosp Pharm. 2006;41:811, 815, 902.
This monthly column discusses the value of learning from rare yet severe events, shares successes with read backs, and reports on errors involving non-formulary medications and vincristine therapy.
Legislation/Regulation > Sentinel Event Alerts
The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) issued this alert to bring attention to a rare but potentially severe administration error reported with the cancer drug vincristine. A previous editorial discusses similar errors.