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Journal Article > Commentary
Cohen MR. Hosp Pharm. 2009;44:654-657.
This monthly error report analysis includes examples of miscommunication regarding medication allergy, incorrect dosing of opiates, and misplacement of a medication patch in an automated dispensing cabinet.
Cases & Commentaries
- Web M&M
Shareen El-Ibiary, PharmD, BCPS; November 2008
A pregnant woman with asthma was admitted to the hospital with respiratory distress. Although the emergency department providers noted that she was pregnant, this information was not conveyed to the floor. On admission, the patient was given an antibiotic that could have been dangerous.