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Is the Admission Drug Dose Too Low?
Kaushal R, Abramson E. AHRQ WebM&M [serial online]. August 2009.
The theophylline dose of a patient admitted for COPD exacerbation and pneumonia is doubled, and he develops atrial flutter with a rapid ventricular response, chest pain, and increased shortness of breath.
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Resource Type
Commentary
Setting of Care
Hospitals
Target Audience
Health Care Providers
Quality and Safety Professionals
Clinical Area
Pulmonology
Safety Target
Administration Errors
Monitoring Errors and Failures
Error Types
Active Errors
Approach to Improving Safety
Communication between Providers
Laboratory Result Tracking Improvement
Clinical Information Systems
Medication Reconciliation