Coverage of the criminal trial of a nurse who accidentally withdrew vecuronium instead of Versed through an ADC override, which resulted in a fatal error, features a quote from ISMP President Emeritus Michael Cohen. He advocates for second victims of errors by emphasizing the possible system-based issues involved.
For the full text, visit Kaiser Health News online.
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Nonprofit patient safety organization releases annual list of 10 patient safety threats in conjunction with Patient Safety Awareness week, March 10 to 16
This article appeared on the MyChesCo website on February 26, 2024.
New Items Focus on Tranexamic Acid, Transitions in Care, and Vaccines