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Missing the point!
Eddie B Dunn1, Jonathan J Wolfe
1Department of Pharmaceutical Sciences, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock 72205, USA.
Veterinary and Human Toxicology
|April 5, 2002
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.