nexus/sreweekly/markdown/27/01-how-technology-led-a-hospital-to-give-a-patient-38-times-his-dosage.md

How Technology Led a Hospital To Give a Patient 38 Times His Dosage

• 期号: SRE Weekly Issue #27（2016-06-13）
• 作者: —
• 链接: https://backchannel.com/how-technology-led-a-hospital-to-give-a-patient-38-times-his-dosage-ded7b3688558#.l2mo3zokn

简介

This fascinating series delves deeply into the cascade of failures leading up to the nearly fatal overdose of a pediatric patient hospitalized for a routine colonoscopy. It’s a five-article series, and it’s well worth every minute you’ll spend reading it. Human error, interface design, misplaced trust in automation, learning from aviation; it’s all here in abundance and depth.

正文

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