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Two Pills, Same Drug
Horsky J, Patel VL. AHRQ WebM&M [serial online]. June 2005.
An AIDS patient prescribed a combination medicine, including a drug she was already taking, narrowly misses being overdosed.
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Resource Type
Commentary
Setting of Care
Hospitals
Target Audience
Physicians
Pharmacists
Safety Target
Ordering/Prescribing Errors
Specific to High-Risk Drugs
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Noncognitive Errors ("Slips & Lapses")
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Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)