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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The awards dinner will be held on Tuesday, December 10, 2019, at Stoney’s Rockin’ Country in Las Vegas, NV.
This article appeared on the Betsy Lehman Center for Patient Safety website on September 19, 2019.
Chris will be recognized at the 51st Annual Assembly on October 28th and 29th at Valley Forge Casino Resort.