Unverified patient-reported error: a false alarm can have real consequences.
ISMP Medication Safety Alert! Acute Care Edition. November 20, 2014;19:1-3.
Reviewing an incident involving a patient who reported an error with home infusion of chemotherapy which was later determined to be a false alarm, this newsletter article outlines actions that could have been taken to prevent wasted resources and anxiety for the patient and health care providers.
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Medication errors involving oral chemotherapy.
Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.
Patient safety incidents in hospice care: observations from interdisciplinary case conferences.
Oliver DP, Demiris G, Wittenberg-Lyles E, Gage A, Dewsnap-Dreisinger ML, Luetkemeyer J. J Palliat Med. 2013;16:1561-1567.
Patient- and family-centered care: error disclosure and investigation.
Connor M, Wayman KI, Garcia C, Fischer PR; Consortium for Maximizing Family-Centered Care. Patient Saf Qual Healthc. September/October 2014;11:36,38-40,42.
COMMENTARYView all related resources...
Safety strategies in an academic radiation oncology department and recommendations for action.
Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.
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