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    Zunni Hermawati
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    Verbal orders are prone to misinterpretation and can harm patients, as evidenced by dozens of cases reported to the Pennsylvania Patient Safety Authority where misheard verbal orders resulted in overdoses or wrong medications. A hospital study found a 9% error rate with verbal orders but reduced it to zero by having medical staff read back verbal orders to confirm accuracy.

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    Verbal orders are prone to misinterpretation and can harm patients, as evidenced by dozens of cases reported to the Pennsylvania Patient Safety Authority where misheard verbal orders resulted in overdoses or wrong medications. A hospital study found a 9% error rate with verbal orders but reduced it to zero by having medical staff read back verbal orders to confirm accuracy.

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    38 views1 page

    LEAN Poster Large

    Uploaded by

    Zunni Hermawati
    Verbal orders are prone to misinterpretation and can harm patients, as evidenced by dozens of cases reported to the Pennsylvania Patient Safety Authority where misheard verbal orders resulted in overdoses or wrong medications. A hospital study found a 9% error rate with verbal orders but reduced it to zero by having medical staff read back verbal orders to confirm accuracy.

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    © All Rights Reserved
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    of 1

    orders are

    unless you...

    WRITE it down
    READ it back
    get CONFIRMation

    Verbal orders, including telephone orders, are


    frequently misinterpreted and can lead to
    significant patient harm.
    Healthcare facilities in Pennsylvania have reported
    dozens of cases to the Patient Safety Authority in
    which misinterpretation of verbal orders resulted in
    serious medication overdoses and in patients
    receiving the wrong drug.
    In a recent study, one hospital found an error rate
    of 9% with verbal orders. They reduced this error
    rate to zero by implementing a read back protocol.
    Source: Vossmeyer MT. Improving patient safety using a verbal
    order read back process. Pediatric Academic Societies Annual
    Meeting; 2006 Apr 29; San Francisco (CA).

    For more information visit:

    www.psa.state.pa.us

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