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Eptifibatide Epilogue
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
A powerful anti-clotting medication is ordered for a patient admitted for coronary intervention. Due to a forcing function in the computer order entry system, the intern enters an arbitrary maintenance infusion rate, assuming that the pharmacy will fix it if it is wrong. The pharmacy dispenses it as written, and the nurse administers it—underdosing the patient by a factor of 40.
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Resource Type
Commentary
Target Audience
Health Care Providers
Quality and Safety Professionals
Information Professionals
Clinical Area
Cardiology
Hospital Pharmacy
Safety Target
Discontinuities, Gaps, and Hand-Off Problems
Ordering/Prescribing Errors
Specific to High-Risk Drugs
Error Types
Active Errors
Approach to Improving Safety
Forcing Functions
Medical Device Design
Checklists
Teamwork
Clinical Pharmacist Involvement
Bar Coding and Radiofrequency ID Tagging
Computerized Adverse Event Detection
Computerized Provider Order Entry (CPOE)
Computerized Decision Support
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