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Journal Article > Commentary
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
This monthly selection of medication error reports includes information about the risks of cutting medication patches, describes examples of drug name confusion, and explains the importance of indicating the purpose for the medication on prescriptions.
Cases & Commentaries
- Web M&M
Scott A. Strassels, PharmD, PhD, BCPS; August 2006
In anticipation of discharge, a patient's opiate medication is changed from an immediate-release to a long-acting formbut the dose was incorrectly converted, resulting in an overdose. The patient develops respiratory distress and requires a 2-week stay in the ICU.