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- W2114909192 abstract "The process of giving medication in an acute care hospital is an example of chaosprinciples. Each medication order, dispensing, administration and monitoring, and evaluation isunique. Each patient situation and concurrent medical problems is unique. Each person in theprocess of dispensing, administering, monitoring, and evaluation is unique. This sets upthousands of variables in interaction with medication administration. Because these variables arehighly dependent on communication and human behavior, the outcome is that patient deathsoccur. These problems were first highlighted by Kohn, Corrigan, and Donaldson (1999) in areport published in the Institute of Medicine’s (IOM). The challenges of making medicationadministration safer are even more acute in the rural hospital environment because resources aresparse." @default.
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- W2114909192 date "2009-06-01" @default.
- W2114909192 modified "2023-09-25" @default.
- W2114909192 title "Medication Errors: Resources for Practice" @default.
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- W2114909192 doi "https://doi.org/10.14574/ojrnhc.v9i1.95" @default.
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