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1.
Medication errors: integrating individual and system accountability.
Smetzer, J L; Cohen, M R; Vogel, D P.
Am J Health Syst Pharm ; 56(12): 1263; author reply 1264, 1999 Jun 15.
Article in English | MEDLINE | ID: mdl-10484658

Subject(s)
Medical Errors/prevention & control , Medication Errors/prevention & control , Patient Compliance , Social Responsibility , Medical Errors/standards , Medication Errors/standards
2.
Lesson from Colorado. Beyond blaming individuals.
Smetzer, J L.
Nurs Manage ; 29(6): 49-51, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9807432

ABSTRACT

A medication error that killed a newborn and resulted in criminal charges against three Denver nurses didn't have to happen. Use this step-by-step account of what went wrong to discover system flaws that may threaten your patients.


Subject(s)
Malpractice/legislation & jurisprudence , Medication Errors/legislation & jurisprudence , Nursing Staff, Hospital/legislation & jurisprudence , Risk Management/methods , Safety , Colorado , Humans , Infant, Newborn , Male , Nursing Staff, Hospital/education
3.
Lesson from Colorado. Beyond blaming individuals.
Smetzer, J L.
Nursing ; 28(5): 48-51, 1998 May.
Article in English | MEDLINE | ID: mdl-9616593

Subject(s)
Homicide/legislation & jurisprudence , Malpractice/legislation & jurisprudence , Medication Errors , Nursing Staff, Hospital/legislation & jurisprudence , Penicillin G Benzathine/poisoning , Syphilis, Congenital/drug therapy , Colorado , Fatal Outcome , Humans , Infant, Newborn , Male , Penicillin G Benzathine/administration & dosage
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