AHRQ Patient Safety Network: ISMP medication error report analysis

ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:288-292.

This monthly selection of reports discusses an error involving the routing of a printed label in the pharmacy, describes examples of drug name confusion, and highlights an obscure drug concentration change.

abrir aquí para acceder al documento que habilita a descargar el archivo PDF:
AHRQ Patient Safety Network