Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.

Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. Healthcare Safety Investigation Branch. Farnborough, UK: 2019.

Design flaws and improper use of technologies that transfer medication and prescription information between provider environments is a known threat to patient safety. This report analyzes an anticoagulant overdose incident and found that information technology missteps contributed to the error.

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