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Comprehensive analysis of a medication dosing error related to CPOE.

Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.

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May 27, 2011
Horsky J, Kuperman GJ, Patel VL. J Am Med Info Assoc. 2005;12(4).
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This case study analyzes a potassium chloride (KCl) dosing error in a system using computerized provider order entry (CPOE). The authors identified problems related to screen results, usability, training, and others. They use their findings to suggest improvements in their hospital’s CPOE system and to analyze CPOE system–related errors more generally.

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Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.