Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions.

Newspaper/Magazine Article

Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions.

November 18, 2009

ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3.

This article describes an unintended consequence associated with a low-tech drug order distribution method and provides recommendations to minimize the potential for missing information.

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