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PubMed · 11931498

Missing the point!

Eddie B Dunn·Jonathan J Wolfe
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Abstract

A medication order for warfarin sodium was sent by facsimile transmission with a decimal point and trailing zero. The order was incorrectly transcribed as a ten-fold overdose and would almost certainy have been fatal if administered as transcribed. Other hazardously written medication orders are presented with guidelines for safer ordercomposition.

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AnticoagulantsColchicineDrug OverdoseFatal OutcomeGout SuppressantsGuidelines as TopicHandwritingHumansMedication ErrorsPharmaceutical ServicesTelefacsimileWarfarinCase ReportsJournal Article

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Eddie B Dunn, Jonathan J Wolfe. 2002. Missing the point!. https://pubmed.ncbi.nlm.nih.gov/11931498/

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