ISMP and ECRI are quoted in this recent national news article focusing on system-based safety changes following the criminal conviction of a former nurse. ISMP emphasized the need for software to require up to five letters of a drug’s name to be typed in when accessing automated dispensing cabinets to prevent mix-ups.
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The recent criminal conviction of a former registered nurse due to a fatal medication error has shaken the healthcare foundation to its core. While this is not the first time a patient has been harmed from a wrong medication or wrong dose, this case sets a precedent that can potentially lead to a