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Error Detection

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Practice Points

For errors in taking verbal orders, establish whether the hospital has a protocol for mandatory read-back

Computerized Physician Order Entry detects and prevents medication errors arising from

1. illegibility
2. wrong dosage
3. known allergy
4. drug interactions 

Hospitals should be held accountable for not introducing bar-coding to detect and prevent drug administration to the wrong patient

If a similar error is known to have previously occurred to a different patient in the same hospital, establish what was done to identify and correct the systemic causes

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