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Comment & Response
August 28, 2018

Errors Resulting From Standard Order Sets—In Reply

Author Affiliations
  • 1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas
JAMA. 2018;320(8):838. doi:10.1001/jama.2018.7828

In Reply We agree with Dr Schreiber that poor physician judgment and a suboptimal handoff process were the proximal causes of an inappropriate β-blocker prescription to a patient in acute heart failure and that there are additional opportunities other than the ones discussed to improve patient safety. Schreiber’s suggestion that we use hold orders and call orders is well taken. These types of orders are routinely used at our institution and, we suspect, at most others. They were not specifically mentioned in our initial report because of space limitations.