Missing the point!
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.
Dunn
Eddie B
EB
Department of Pharmaceutical Sciences, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock 72205, USA.
Wolfe
Jonathan J
JJ
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
D000925:Anticoagulants; D006074:Gout Suppressants; D014859:Warfarin; D003078:Colchicine