Article about investigation into why at least 35 patients in the ICU of an Ohio hospital received excessive doses of fentanyl ordered by one doctor quotes ISMP staff about need to have systems in place to prevent ADC overrides and implement a just culture.
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New Tool Will Help Surgery Sites Evaluate, Document Compliance, Compare Scores
This article appeared in American Nurse Journal website on May 6, 2021.
Since COVID-19 vaccines were granted emergency use authorization, The Institute for Safe Medication Practices (ISMP) has received reports of errors related to storage, preparation, and administration. Because COVID-19 vaccine errors can result in reduced effectiveness, and other safety implications