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Alagille Syndrome

Study to look at dosing errors in liver transplant recipients

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A team of researchers is examining the rate of wrong-dose order errors in patients who have undergone liver transplants in an effort to evaluate the risk surrounding specific medications and protocols as well as assist in the development of targeted interventions that may reduce error.

Because liver transplant recipients often require dosing adjustments due to changes in weight, interactions between medications, or underlying disease processes, there is an increased risk of medication dosing errors in this population.

This retrospective cohort study will use the Wrong-Dose Retracted-and-Reorder (WD-RAR) measure to estimate wrong-dose order errors. The WD-RAR finds orders retracted within 30 minutes that are reordered at a different dose within 10 minutes by the same provider for the same patient.

Reference
Reddy P, et al. Understanding the risk of Wrong Dose Errors in Liver Transplant Recipients Using a Validated Automated Measurement Tool. Presented at: SPLIT 2021.

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