February 2006
American Journal of Health-System Pharmacy;2/1/2006, Vol. 63 Issue 3, p188
Academic Journal
The article reports developments related to health-system pharmaceutical services. A diverse team of 20 medical center workers examining factors contributing to misidentification of patients during the ordering, dispensing, administration, and monitoring of medications, have identified six basic areas for process improvement. The use of lifesaving treatments, including hemodialysis, countered the hypermagnesemia that had developed in a 10-month-old girl who was supposed to have received 40-milligram of magnesium sulfate as part of an intravenous solution supplemental to cisplatin therapy.


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