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ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
This newsletter piece recommends strategies to ensure the safe transition from using insulin pens to insulin vials in acute care.
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.