nexus/sreweekly/markdown/24/04-breakdown-in-medication-reconciliation-leads-to-inpatient-dose-16-time.md

Breakdown in Medication Reconciliation Leads to Inpatient Dose 16 Times Higher Than Home Dose – BWH Safety Matters

• 期号: SRE Weekly Issue #24（2016-05-22）
• 作者: —
• 链接: https://bwhsafetymatters.org/breakdown-in-medication-reconciliation-leads-to-inpatient-dose-16-times-higher-than-home-dose/

简介

This article may be about a medication error, but this could have come straight from a service outage post-analysis:

For example, if the system makes it time consuming and difficult to complete safety steps, it is more likely that staff will skip these steps in an effort to meet productivity goals.

正文

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