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
1. Verfasser: Weir, Vickey L
Format: Artikel
Sprache:eng
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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.
ISSN:0744-6314
1538-8670
DOI:10.1097/00006247-200509000-00007