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Book/Report
Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.
November 13, 2019
Farnborough, UK: Healthcare Safety Investigation Branch; October 2019.
Design flaws and improper use of technologies that transfer medication and prescription information between provider environments is a known threat to patient safety. This report analyzes an anticoagulant overdose incident and found that information technology missteps contributed to the error.
