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  1. Ferguson, Rita MSN, RN
  2. Williams, Michael L. MSN, RN, CCRN, CNE
  3. Beard, Betty PhD, RN


Errors in programming patient-controlled analgesia (PCA) pumps unfortunately occur in hospitals. At this hospital, quality improvement efforts were combined with staff development programming to decrease PCA pump errors. A significant decrease in PCA pump errors was found after 1:1 staff education.