Best-practice protocols: Preventing adverse drug events
Analysis of Stanford’s electronic Patient Safety Net revealed a pattern of unrecognized, widespread, low-frequency I.V.-PCA adverse events. A performance improvement-failure modes and effects analysis identified causes, and a multidisciplinary team developed solutions.
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Veröffentlicht in: | Nursing management 2005-09, Vol.36 (9), p.24-30 |
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Format: | Artikel |
Sprache: | eng |
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Online-Zugang: | Volltext |
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Zusammenfassung: | Analysis of Stanford’s electronic Patient Safety Net revealed a pattern of unrecognized, widespread, low-frequency I.V.-PCA adverse events. A performance improvement-failure modes and effects analysis identified causes, and a multidisciplinary team developed solutions. |
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ISSN: | 0744-6314 1538-8670 |
DOI: | 10.1097/00006247-200509000-00007 |