Medication Errors

Saturday morning coffee [December 6 2014]

“The happiest people don’t have the best of everything, they just make the best of everything” ~unknown Welcome to December. Hard to believe that Christmas is right around the corner. So much happens each and every week, and it’s hard to keep up sometimes. Here are some of the tabs that are open in my […]

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Saturday morning coffee [August 9 2014]

“If you think a weakness can be turned into a strength, I hate to tell you this, but that’s another weakness.” -Jack Handey So much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random […]

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Medical errors remain a problem despite years of effort

I recently read an article at Senator Bernie Sanders website about preventable medication errors. The article lists preventable medical errors in hospitals as the third leading cause of death in the U.S. behind only heart disease and cancer. The article goes on to say that “the Journal of Patient Safety recently published a study which […]

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Saturday morning coffee [December 21 2013]

“Great people talk about ideas, average people talk about things, and small people talk about wine.” – Fran Lebowitz So much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts….

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Saturday morning coffee [March 30 2013]

So much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts…. The coffee mug to the right comes straight from Moonstone Pottery in Los Osos, California. It’s a pretty cool mug. It was […]

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CPOE reduces likelihood of error by nearly 50% [article]? I’m skeptical

There’s quite a bit of talk floating around the internet about a recent article in JAMIA that looks at reduction of medication errors in hospitals secondary to CPOE adoption (J Am Med Inform Assoc doi:10.1136/amiajnl-2012-001241). The article is available for free so I read through it last weekend. By the end I was looking at something […]

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Accuracy of preparation of i.v. medication syringes for anesthesiology [article]

Here’s an interesting article from the January issue of AJHP that talks about the accuracy of medication syringes used in surgical procedures. Some of the findings are a bit unnerving: “18% of preparations deviated from the declared dose by ±20%, 8% deviated by ±50%, and 4% deviated by ±100%“. Humans, we’re just not all that […]

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Saturday morning coffee [October 13 2012]

So much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts…. The coffee mug to the right is from The Sixth Floor Museum at Dealey Plaza in Dallas, Tx. My family and I spent […]

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Forcing re-entry of patient ID cuts wrong-patient errors

You know how websites make you double enter your email address and password when you sign up for a service? Well, apparently that’s not a bad system for making sure you have the right patient during order entry. You’d think we would have figured that out a while back, but then again this is healthcare […]

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Prenteral nutrition error [from #ISMP]

From the latest ISMP Medication Safety Alert!, a mix up between an adult parenteral nutrition (PN) template in an electronic health record (#EHR) and one for pediatrics. The big difference between these two is how you order electrolytes; it’s a really big difference. The most shocking part of all this was that the error made […]

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