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Journal Article > Commentary
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
This monthly selection of reports includes errors involving epidural medication administered intravenously and mistaken reuse of discontinued drugs.
ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.
This article reports on an overdose caused by improper label placement on a patient controlled analgesia (PCA) pump and provides recommendations for preventing pump-related medication errors.