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| − | Prior to HIS installation, it was common practice for residents to tell 4th year medical students (ie subintern), "Go write these orders and I'll cosign them later.". It was against hospital policy but it was done all the time. The nurses would look at the orders and say "Oh, a med student wrote for colace, I can give that." or "Oh, a med student wrote for digoxin. I better wait till it's cosigned."
| + | #REDIRECT [[Unintended consequences]] |
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| − | When the new IT system was put in place the hospital administrators said, "Finally, we can enforce our policy."
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| − | Instead, what happened was the resident now said, "Take my key and password and go write these orders." Now the nurse says, "Oh the resident wrote the orders, I better give these meds."
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| − | Within two months the hospital policy was changed to reflect reality. 4th year medical students were allowed to write orders on their own login and nurses where required to wait for the electronic co-signature by the resident.
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