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Nursing Home Medications: Thirty Residents, One Cart | Episode 88
Episode three of the medication harm series is the nursing home, and Michelle Carroll opens with a picture of what a medication pass actually looks like: one nurse, a rolling cart, thirty residents, and a morning pass that is supposed to take an hour and takes three.
The errors in that setting are different from hospital errors. She walks through the main categories: omissions charted as given or refused, timing errors that are systemic rather than individual, transcription errors that put the wrong dose on a MAR for a month until someone compares it to the orders, and polypharmacy, where…
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