title: Missing the point!
abstract: A medication order for warfarin sodium was sent by facsimile transmission with a decimal point and trailing zero. The order was incorrectly transcribed as a ten-fold overdose and would almost certainy have been fatal if administered as transcribed. Other hazardously written medication orders are presented with guidelines for safer ordercomposition.
authors.affiliation: Department of Pharmaceutical Sciences, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock 72205, USA.
authors.forename: Eddie B
authors.initials: EB
authors.lastname: Dunn
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Wolfe
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage* / Q000506:poisoning; D003078:Colchicine / Q000008:administration & dosage / Q000506:poisoning*; D062787:Drug Overdose; D017809:Fatal Outcome; D006074:Gout Suppressants / Q000008:administration & dosage / Q000506:poisoning*; D017408:Guidelines as Topic; D006236:Handwriting; D006801:Humans; D008508:Medication Errors; D010593:Pharmaceutical Services; D016636:Telefacsimile; D014859:Warfarin / Q000008:administration & dosage* / Q000506:poisoning
chemical_list: D000925:Anticoagulants; D006074:Gout Suppressants; D014859:Warfarin; D003078:Colchicine