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After an admitting physician bases the dosages of medication on an outdated electronic medication list, the patient's heart nearly stops.
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Deciphering the Code
Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.
Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.
Keeping track of aging patients’ medications.
Cooney E. Worcester Telegram & Gazette. January 28, 2008;Living section:E1.
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
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Facility and Group Administrators
Discontinuities, Gaps, and Hand-Off Problems
Medication Errors/Preventable Adverse Drug Events
Approach to Improving Safety
Computerized Provider Order Entry (CPOE)
Electronic Health Records
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