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.
Gupta A, Das SR, Pandey A. Errors Resulting From Standard Order Sets—In Reply. JAMA. 2018;320(8):838. doi:10.1001/jama.2018.7828
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