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This week’s free newsletter article describes how a series of latent and active failures involving IV bags in an automated dispensing cabinet perfectly aligned to allow a preventable adverse event to reach a patient: https://www.ismp.org/node/57727
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Medication Safety Officers Society 3467 Members Strong A society of healthcare professionals dedicated to improving medication safety in healthcare organizations |
This week’s free newsletter article describes how a series of latent and active failures involving IV bags in an automated dispensing cabinet perfectly aligned to allow a preventable adverse event to reach a patient: https://www.ismp.org/node/57727