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Comprehensive Analysis of a Medication Dosing Error Related to CPOE

This case study of a serious medication error demonstrates the necessity of a comprehensive methodology for the analysis of failures in interaction between humans and information systems. The authors used a novel approach to analyze a dosing error related to computer-based ordering of potassium chlo...

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Detalhes bibliográficos
Main Authors: Horsky, Jan, Kuperman, Gilad J., Patel, Vimla L.
Formato: Artigo
Idioma:Inglês
Publicado em: American Medical Informatics Association 2005
Assuntos:
Acesso em linha:https://ncbi.nlm.nih.gov/pmc/articles/PMC1174881/
https://ncbi.nlm.nih.gov/pubmed/15802485
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1197/jamia.M1740
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